Natalie Day
PBM Contracting Specialist
Miamisburg,OH
Summary
Pharmacy Profitability Specialist skilled in navigating complex contract negotiations and driving financial performance. At McKesson, assisted independent pharmacies in achieving substantial improvements in both gross and net profitability through predictive analysis and strategic partner engagement, highlighting expertise in contract management and relationship building. Proven ability to enhance operational efficiency while fostering long-term partnerships.
Overview
11
11
years of professional experience
Work History
PBM Contracts Consultant
Camas Prairie Consulting
Miamisburg, OH
12.2023 - Current
- Negotiate and revise contract terms with health plans, PBMs, and other third-party vendors.
- Perform detailed analysis of pharmacy claims data, drug utilizations trends, and formulary management to identify cost-saving opportunities and improve overall pharmacy profitability.
- Monitor and track performance metrics, including claims processing accuracy and rebate performance.
Sr. Customer Engagement Specialist
McKesson - HealthMart Atlas
Columbus, OH
11.2023 - 11.2024
- Provided dedicated support to the largest affiliated GPO (approx. 2100 independent pharmacies) promoting PSAO satisfaction, strategic alignment, and differentiated customer support to member pharmacies and key GPO executives and stakeholders.
- Educated partners on managed care topics such as reimbursement rates, DIRs, MAC pricing, preferred networks, Pharmacy performance (operational & clinical), and the PBM and Payor market.
- Conducted detailed analytics presentations with key customers with the goal of helping them maximize reimbursement opportunities, including direct contracting options, through monthly standing calls and QBRs.
Sr Customer Support Specialist
McKesson - HealthMart Atlas
Columbus, OH
11.2019 - 11.2023
- Answered inbound calls from existing Health Mart Atlas pharmacies regarding Managed Care needs such as adjudication issues, payment research, contract solicitations and reimbursement issues.
- Collaborated with other internal teams to follow up on open issues that required additional research.
- Ensured PSAO value proposition was clearly identified and communicated with members including contract updates, industry news and trends.
Education
Bachelor of Science - Healthcare Administration
Western Governors University
Salt Lake City, UTSkills
- Analytical Data Interpretation
- Expert in Effective Rates
- Critical Issue Resolution
- Predictive Analysis
- Monitoring Contract Compliance
- Contract Management
- Contract Review
- Establishing Strong Connections
Accomplishments
Designed and developed a first-of-its-kind business intelligence tool specifically for independent pharmacies, helping them to break the PSAO cycle and regain control of their financials and profitability.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeContract WorkWork Location
RemoteHybridTimeline
PBM Contracts Consultant
Camas Prairie Consulting
12.2023 - Current
Sr. Customer Engagement Specialist
McKesson - HealthMart Atlas
11.2023 - 11.2024
Sr Customer Support Specialist
McKesson - HealthMart Atlas
11.2019 - 11.2023
Bachelor of Science - Healthcare Administration
Western Governors University
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