Paul Lynne, Pharm. D, MBA
Phoenix,AZ
Summary
I am a high performance, solutions-oriented pharmacy leader with 23 years of leadership experience. I possess an extensive background in pharmacy operations, pharmacy compliance, training & development, utilization management, and process improvement. My passion is leading and developing teams of high performance and passionate individuals with a focus on consistent and standardized training as well as individual development with a focus on accountability.
Overview
27
27
years of professional experience
Work History
Clinical Program Senior Manager
Cigna Healthcare
10.2022 - Current
- Manage a team of clinical pharmacists who support commercial formulary strategy work for a large health plan of 7.1 million lives; team’s strategies projected to bring $1.3 million in affordability in 2024
- Responsible for compliance and regulatory adherence to state and federal mandates pertaining to formulary strategy
- Responsible for educating clinical formulary strategy team on clinical updates provided by the Pharmacy & Therapeutics Committee
- Responsible for monitoring commercial formulary strategies and identify areas of opportunity as well as identify market trends with competitors for areas of enhancement /new programs
- Support sales team messaging to clients to reduce escalations/complaints regarding formulary strategies
- Monitor pipeline products that will impact trend/spend on the pharmacy and medical benefit and assist with quarterly projections with Pharmacy Economics/Finance.
Operating Effectiveness Senior Advisor
Accredo Specialty Pharmacy
03.2020 - 10.2022
- Developed and implemented dedicated team of representatives to contain a more efficient process of referral process of Cigna’s Specialty Care Options program
- Researched, designed, and implemented a more efficient process of medical benefit claims processing through machine learning, SOP tightening, and system enhancements
- Implemented SOP tightening and governance process across the organization for integration of major client as well as URAC Accreditation.
Clinical Pharmacy Sr Manager (Chief Pharmacist)
CIGNA HOME DELIVERY & SPECIALTY PHARMACY
07.2018 - 03.2020
- Directed front-end operations and compliance personnel to successful URAC Accreditation (2018) and Board of Pharmacy inspections for 3 licensed pharmacies (Phoenix AZ, Sioux Falls SD, Horsham PA)
- Led a team of 9 direct reports (6 Clinical Pharmacy Mangers & 3 Pharmacists-in-Charge) responsible for 130 staff pharmacists who successfully reduced pharmacist’s turnaround times from 1.25 days in 2018 to 0.62 days in 2019 as well as increased employee engagement scores from prior year (47.2 NPS to 55.1 NPS)
- Developed & implemented a more robust and efficient training program for a more standardized training approach including Lead Pharmacists and designated pharmacist trainers at each site.
Clinical Pharmacy Manager-Utilization Management
Cigna Pharmacy Management
08.2013 - 07.2018
- Managed a team of 1 Pharmacy Supervisor and 30 Clinical Pharmacists, as well as 3 non-clinical analysts who performed and supported first line clinical coverage determinations for pharmacy/medical benefit prior authorization requests
- Developed and implemented clinical operations programs to support a dynamic coverage review environment including, Pharmacist Denial Scope, Pharmacist Staffing Redeploy, Enhanced Specialty Care Options, and creation of specific clinical specialty sub-teams for both commercial and Medicare Part-D lines of business
- Streamlined review processes to increase productivity (reviews per hour) by 15% while maintaining quality metrics of 99% or greater.
Pharmacy Supervisor
Cigna Medical Group Pharmacy
03.2009 - 08.2013
- Pharmacist-in-Charge duties at 2 clinic pharmacies overseeing staffing, pharmacy operations, and medication therapy management programs
- Increased patient satisfaction score > 10 points at two clinic pharmacies, as well as developed 4 staff pharmacists to Pharmacy Supervisor positions
- Involved in research and implementation, integration, and training personnel of new pharmacy operating system for all CMG pharmacies, as well as a standardized training process for new pharmacists and pharmacy supervisors.
Pharmacy Manager-Dispensing
Humana Rightsource Pharmacy
09.2007 - 03.2009
- Developed and implemented standardized training programs for new pharmacists and technicians at two high volume dispensing facilities
- Developed streamlined processes and procedures during implementation of an automated tote dispensing system
- Developed and implemented standards for dispensing hazardous drugs in a high-volume mail-order facility per USP guidelines.
Pharmacy Manager/Corporate Pharmacy Trainer
Albertsons/Osco Pharmacy
05.1997 - 09.2007
- Responsible for staff pharmacist and Pharmacist-in-Charge duties at multiple pharmacies in Phoenix, AZ
- Division Pharmacy Manager of the Year (2002, 2003, 2004) for highest gross margin and most impactful inventory control
- Developed, integrated, and implemented pharmacy curriculum for new pharmacists and pharmacy managers, as well as special projects with Albertsons Pharmacy Education Department consisting of new policies and procedures in making the practice of pharmacy and pharmacy more efficient
- Facilitated live teaching classes to all new pharmacists with Albertsons/Osco consisting of a five-day orientation on company policies and procedures, as well as conducted a live preparatory class for technicians preparing for the PTCB exam.
Education
MBA - General Business
University of Phoenix
Phoenix, AZ06.2010
Doctor of Pharmacy -
North Dakota State University
Fargo, ND05.1997
Skills
- Process Improvement
- Managing Operations and Efficiency
- Leading and developing teams
- Being a champion to teams and organizations
- Partnership Development
- Employee Development
- Talent Development
- Cross-functional Team Coordination
- Work Planning and Prioritization
Activities
- Member-Board of Directors: Mountain Park Healthcare Foundation
- Past Chairman—Managed Care Academy: Arizona Pharmacy Association
- Member: Academy of Managed Care Pharmacy, National Association of Specialty Pharmacy
- Registered Pharmacist: Arizona State Board of Pharmacy 1997-Present
- Past Preceptor: Midwestern University College of Pharmacy, University of Arizona College of Pharmacy, University of Southern Nevada College of Pharmacy, North Dakota State University College of Pharmacy
Personal Information
Title: Pharm.d, MBA
Timeline
Clinical Program Senior Manager
Cigna Healthcare
10.2022 - Current
Operating Effectiveness Senior Advisor
Accredo Specialty Pharmacy
03.2020 - 10.2022
Clinical Pharmacy Sr Manager (Chief Pharmacist)
CIGNA HOME DELIVERY & SPECIALTY PHARMACY
07.2018 - 03.2020
Clinical Pharmacy Manager-Utilization Management
Cigna Pharmacy Management
08.2013 - 07.2018
Pharmacy Supervisor
Cigna Medical Group Pharmacy
03.2009 - 08.2013
Pharmacy Manager-Dispensing
Humana Rightsource Pharmacy
09.2007 - 03.2009
Pharmacy Manager/Corporate Pharmacy Trainer
Albertsons/Osco Pharmacy
05.1997 - 09.2007
MBA - General Business
University of Phoenix
Doctor of Pharmacy -
North Dakota State University
Similar Profiles
Sandra SimmonsSandra Simmons
Client Account Support Sr. Analyst at Cigna HealthcareClient Account Support Sr. Analyst at Cigna Healthcare
Artia FogleArtia Fogle
Medical Claim Coordinator at Cigna HealthcareMedical Claim Coordinator at Cigna Healthcare
Christopher TaylorChristopher Taylor
Operating Effectiveness Sr. Advisor at Cigna HealthcareOperating Effectiveness Sr. Advisor at Cigna Healthcare
Felisha GurleyFelisha Gurley
Claims Analyst at Cigna HealthcareClaims Analyst at Cigna Healthcare
Alexandra BerryAlexandra Berry
Service Coordinator at Presidential Pools, Spas & PatioService Coordinator at Presidential Pools, Spas & Patio