Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Theresa Dubois

Norridgewock,ME

Summary

Dedicated and results-oriented professional with over 35 years of experience in pharmacy operations and team leadership. Demonstrated success in managing high-performance teams, ensuring program integrity, and leading complex projects. Possesses strong expertise in reimbursement strategies, application management, and consultative work. Skilled in fostering team development and achieving organizational objectives.

Overview

35
35
years of professional experience

Work History

Reimbursement Team Lead

Mercer
08.2020 - Current
  • Lead the reimbursement team in executing the AAC (Actual Acquisition Cost) drug program and MAC (Maximum Allowable Cost) drug program, 340B ceiling price program across multiple states
  • Led MercerRx Passage Application ownership, facilitating developer collaboration.
  • Conduct consultative reviews of AAC rates and MAC pricing, providing strategic insights to enhance team performance and compliance
  • Mentor and support team members in achieving their career aspirations through skill development and training initiatives
  • Trained new staff in relevant processes and procedures.
  • Allocated resources effectively to ensure project completion within deadlines and budget.

Pharmacy Operations Manager

Change Healthcare
Augusta, Maine
08.1999 - 08.2020
  • Oversaw the pharmacy reimbursement department, establishing maximum allowable drug costs and AAC drug costs through comprehensive surveys
  • Managed the PDL (Preferred Drug List) for seven states
  • Led the implementation of the Maine Pharmacy Program Integrity , focusing on the detection of drug claim fraud and abuse through algorithm development.
  • Created supplemental Rebate cost sheets for SSDC to assist states in determining drug placement on the PDL.
  • Trained state staff on point-of-sale systems for pharmacy claims processing, enhancing operational efficiency
  • Managed a team of 20 helpdesk technicians by providing people management support, assisting in setting and guiding goals, delivering constutive feedback, and optimizing workflow to improve efficiency.

Pharmaceutical Purchaser/Pharmacy Technician

LaVerdiers Super Drugstore/Rite Aid
Skowhegan, ME
08.1989 - 08.1999
  • Verified pharmaceutical prescription orders from doctors, ensuring accuracy and compliance with regulations
  • Responsible for ordering pharmaceuticals for the pharmacy, maintaining optimal inventory levels.
  • Entered prescriptions into the pharmacy computer database, ensuring timely and accurate processing
  • Filled prescriptions, counted pills, and managed inventory to effectively support pharmacy operations
  • Investigated discrepancies between invoices received from suppliers and actual delivered goods.

Education

High School Diploma -

Waterville Senior High School
Waterville, Maine
01.1985

Skills

  • Team Leadership & Development
  • Project Management
  • Pharmacy Operations
  • Drug Cost Management
  • Consultative Reviews
  • Application Management
  • Fraud Detection & Prevention
  • Strategic Planning
  • PDL (Preferred Drug List) Management
  • Supplemental Rebate Management
  • Budget Management and Staff Hours Coordination

References

Available upon request.

Timeline

Reimbursement Team Lead

Mercer
08.2020 - Current

Pharmacy Operations Manager

Change Healthcare
08.1999 - 08.2020

Pharmaceutical Purchaser/Pharmacy Technician

LaVerdiers Super Drugstore/Rite Aid
08.1989 - 08.1999

High School Diploma -

Waterville Senior High School

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Theresa Dubois