Ray McCaslin
Infusion Pharmacy Professional
Cypress,TX
Summary
Dedicated Infusion Pharmacy professional with a history of meeting company goals utilizing consistent and organized practices.
Strong leader and problem-solver with an understanding of every facet of Infusion Pharmacy operational performance. Sound judgment and independent decision-making skills.
Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
43
43
years of professional experience
Work History
Sr. Director, Payer Contract Management
Optum Infusion
05.2023 - Current
- Lead the Contract Management Team in the Payer Contracting end to end processes to meet required timelines while increasing customer engagement (internal and external)
- Strategic decision maker, team leader and influencer in customer relations, contract language, credentialing and delivery of cross-functional collaboration to support company expansion
- Develops and maintains contracts, understand the competitive landscape, and understand specific laws, regulations, or legislation
- Work collaboratively with Operations Leadership, Account Management, and Sales to translate contract development strategies into deliverables to meet company goals
- Partner with Clinical Ops, Pricing, Finance, Compliance to be sure all functions align on processes and requirements
Director, Payer Strategy, and Contracting
Optum Specialty/Infusion
02.2020 - 05.2023
- Developed the Optum Contract Center of Excellence, a best-in-class Payer Contract Management team supporting all Optum Specialty and Infusion Pharmacies
- Processed 250+ payer contracts, amendments, and credentialing applications per month
- Lead member of the Contract Pricing Committee for review/approval of all new Infusion contract rates
- Responsible for language review of all Infusion and Specialty contracts/amendments for signature approval
- Collaborates closely with each Provider Relations account owner and clinical/operational subject matter experts through new contract negotiations to implementation
Area Director of Managed Care
Diplomat
02.2017 - 02.2020
- Managed companies’ largest geography with 90 million lives
- Signed 32 new managed care agreements in 3 years ranked number two out of seven Area Directors
- Provided sales leadership, support and education to a team of 25 field sales executives
- Responsible for a sales budget of $300 million, equaling 30% of company revenue
- Managed 80+ active payor accounts throughout the region
- Achieved 30% gross profit on managed care accounts consistently
- Developed and implemented a national contract data system for contract management
VP Business Development and Contracting
Affinity Biotech
04.2009 - 02.2017
- Responsible for driving new contracts and increasing revenue with new and existing commercial and managed Medicaid accounts nationally
- Conducted operational and A/R analysis/troubleshooting, and new policy development with executive team
- Analyzed the development and implementation of strategic plans relating to new market entry
- Directed and oversaw the Corporate Compliance Program and provided guidance for the Board of Directors
- Created compliance/ethics training material, conducted training sessions, monitored and reported results
- Worked with Clinical/Ops teams to improve customer satisfaction from 85% to over 95%, and reducing compliance hotline calls down to zero
Area VP, General Manager
Amerita Specialty Infusion
11.2005 - 03.2009
- Successfully opened new office in Houston from “concept to completion”, activity included but not limited to everything from finding an office, negotiating the lease, hiring staff, getting payroll established, etc
- Developed strategic market planning, developed and produced marketing material, created local brand identity
- Increased annual revenue from $0 to $10M within 18 months of being fully operational
- Participated in due diligence through successful integration of multiple acquisitions throughout Texas
Area Vice-President
Option Care Health
08.2003 - 10.2005
- Selected for troubleshooting and turn-around capability
- Lead operations and sales of eight home infusion locations throughout several states
- Exceeded annual revenue budget of $26M with a team of 14 direct report employees
Area Vice-President
American Home Patient
10.2002 - 08.2003
- Led sales and operations of 23 offices providing home healthcare services in TX and OK
- Managed 15 General Manager direct reports and a team of 250+ employees
- Directed Region Sales Manager and 25 Account Managers to attain an annual revenue of $30M
Area Vice President
Infusion Care Systems
06.2000 - 08.2002
- Grew revenues numbers from $0 to $6M through captured market share and new office expansion in region
- Managed, planned and directed all sales and operations among multiple locations in TX and AL
Area Vice President Sales
Coram Healthcare
01.1998 - 06.2000
- Led area sales to exceed the budgeted annual revenue numbers of $102M in 1999 and $110M in 2000, with a team of over 50 employees throughout 13 states
Regional Vice-President Ops and Sales
10.1996 - 01.1998
- Attained annual net sales budget of $24M in 1998, improved earnings from -1% in 1997 to 14% in 1998
- Management of sales and operations team including a Regional Sales and Ops Manager, 2 Managed Healthcare Specialists and 13 Account Managers/Specialists
Divisional Manager
HealthCor
10.1995 - 10.1996
General Manager
Apria Healthcare
04.1990 - 10.1995
National Operations Manager
American Mobility
11.1988 - 04.1990
General Manager
Lincare
10.1987 - 11.1988
General Manager/Account Executive
Foster Medical
01.1986 - 10.1987
General Manager
Glasrock Home Health Care
02.1982 - 01.1986
Education
Certified Respiratory Therapy Technician -
Tulsa County Technical School
Tulsa, OKAssociate Degree - Aeronautics and Astronautics Engineering
Spartan College of Aeronautics
Tulsa, OKSkills
Innovation management
Strategies and goals
Verbal and written communication
Operations Management
Problem-solving aptitude
Reporting expertise
Multitasking Abilities
Professionalism
Customer Relations
Business Intelligence
Collaborate cross-functionally
Reliability
Timeline
Sr. Director, Payer Contract Management
Optum Infusion
05.2023 - Current
Director, Payer Strategy, and Contracting
Optum Specialty/Infusion
02.2020 - 05.2023
Area Director of Managed Care
Diplomat
02.2017 - 02.2020
VP Business Development and Contracting
Affinity Biotech
04.2009 - 02.2017
Area VP, General Manager
Amerita Specialty Infusion
11.2005 - 03.2009
Area Vice-President
Option Care Health
08.2003 - 10.2005
Area Vice-President
American Home Patient
10.2002 - 08.2003
Area Vice President
Infusion Care Systems
06.2000 - 08.2002
Area Vice President Sales
Coram Healthcare
01.1998 - 06.2000
Regional Vice-President Ops and Sales
10.1996 - 01.1998
Divisional Manager
HealthCor
10.1995 - 10.1996
General Manager
Apria Healthcare
04.1990 - 10.1995
National Operations Manager
American Mobility
11.1988 - 04.1990
General Manager
Lincare
10.1987 - 11.1988
General Manager/Account Executive
Foster Medical
01.1986 - 10.1987
General Manager
Glasrock Home Health Care
02.1982 - 01.1986
Associate Degree - Aeronautics and Astronautics Engineering
Spartan College of Aeronautics
Certified Respiratory Therapy Technician -
Tulsa County Technical School