Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Publications
Fun Facts
Timeline
Generic

Susan Vigil

Newport Beach,CA

Summary

Pharmacy leader with over thirty years of experience in managed care, specializing in operational excellence and cost-effective healthcare solutions. Demonstrated success in strategic leadership, contract negotiations, and clinical oversight. Strong background in regulatory compliance and community relations, driving impactful healthcare initiatives.

Overview

35
35
years of professional experience
1
1
Certification

Work History

CalOptima Health Pharmacy Services
03.2007 - Current
  • Led pharmacy benefit management (PBM) strategy, optimizing reimbursement rates for the pharmacy network.
  • Led PBM oversight and vendor management including contract negotiations and rebate management.
  • Developed and implemented strategic pharmacy initiatives aligned with CalOptima’s objectives and mission.
  • Led and managed formulary development and prior authorization protocols for Medi-Cal and Medicare lines of business.
  • Supported CalOptima’s quality goals as a member of the pharmacy strike force to improve Star ratings, PQA adherence measures and HEDIS outcomes.
  • Directed the pharmacy team including clinic pharmacists and technicians to foster a culture of support and excellence.
  • Collaborated with internal departments including claims, utilization management, quality and medical management to optimize member outcome and drug cost effectiveness.
  • Developed and maintain strong relationships with the pharmacy benefit manager, community pharmacies, specialty pharmacies, chain pharmacy corporate offices, providers and health networks.

Owner Managed Care Retail Pharmacy

Moulton Plaza Pharmacy
Laguna Hills, CA
09.1995 - 01.2007
  • Co-owned and operated the pharmacy as a licensed business, including prescriptions, durable medical equipment, disposable medical supplies, ostomy supplies and wound care.
  • Supervised 10 pharmacists, 20 technicians and ancillary staff.
  • Negotiated contracts with wholesalers, PBMs and vendors.
  • Oversaw daily operations including staffing, inventory control, scheduling and workflow.
  • Monitored profit margins, managed accounts payable/receivable.
  • Managed State Board of Pharmacy and DEA audits.
  • Provided medication review, immunizations and chronic disease management services.
  • Implemented and monitored adherence programs for high-risk patients and patients with chronic conditions.
  • Conducted community health fairs including blood pressure monitoring, bone density scans and glucose monitoring.
  • Developed a network of relationships in the retail setting including community pharmacists, physicians, wholesalers, pharmacy services administrative organizations and pharmaceutical representatives.

Pharmacy Operations Supervisor - Intensive Care Units

Veteran’s Administration Hospital
San Diego, CA
07.1990 - 09.1995
  • Managed daily operations of five inpatient pharmacies, including sterile and non-sterile compounding of intravenous admixtures.
  • Supervised, trained and mentored 20 pharmacists, and 15 technicians, fostering a culture of patient-centered care.
  • Member of the intensive care unit team, participated in rounding and therapeutic decision making.
  • Coordinated with physicians to align formulary decisions, monitor drug interactions, adverse effects and therapeutic duplications.
  • Maintained policies and procedures to ensure compliance with Joint Commission, CMS, State Board of Pharmacy and DEA regulations.
  • Prepared and responded to regulatory audits and inspections.
  • Managed the inpatient pharmacy budget and identified cost-saving opportunities through formulary changes or bio similar medications.
  • Served as subject matter expert on Pharmacy and Therapeutics Committee.

Education

Doctor of Pharmacy -

University of California
San Francisco, CA

Pharmacy Residency -

University of California
San Francisco, CA

Skills

  • Managed care contracting
  • Pharmacy benefit management
  • Strategic leadership
  • Financial analysis
  • Regulatory compliance
  • Team building and mentorship

Affiliations

  • American Society of Health-Systems Pharmacists
  • California Pharmacist Association
  • Orange County Pharmacy Association

Certification

  • Board Certified Pharmacotherapy Specialist, Demonstrated advanced knowledge of evidence-based medicine, drug information, literature evaluation, and clinical pharmacokinetics.
  • Certified Instructor, Sterile and non-sterile compounding curriculum.

Publications

Applied Therapeutics: The Clinical Use of Drugs, Seventh Edition, Mary Anne Koda-Kimble, Lloyd Yee Young- Editor

Fun Facts

  • Hosted a television show for pharmacy and health related topics for the elderly.
  • Mirror twin.

Timeline

CalOptima Health Pharmacy Services
03.2007 - Current

Owner Managed Care Retail Pharmacy

Moulton Plaza Pharmacy
09.1995 - 01.2007

Pharmacy Operations Supervisor - Intensive Care Units

Veteran’s Administration Hospital
07.1990 - 09.1995

Doctor of Pharmacy -

University of California

Pharmacy Residency -

University of California

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