Summary
Overview
Work History
Education
Skills
Experience
Timeline
Generic

William Ashmore

Flower Mound

Summary

Insightful Performance Analyst known for high productivity and efficient task completion. Specialize in data analysis, performance metrics interpretation, and process improvement strategies. Excel in problem-solving, communication, and adaptability, making complex information accessible and actionable. Bring focus on enhancing operational efficiency and supporting strategic decision-making through analytical insights.

Overview

19
19
years of professional experience

Work History

Senior Pharmacy Financial Performance Analyst - Product Enhancement

RxBenefits
Dallas
03.2024 - Current
  • Facilitated training sessions for staff on analytical tools and methodologies.
  • Provided recommendations based on data analysis to enhance client satisfaction levels.
  • Analyzed performance data to identify trends and insights for client reports.
  • Collaborated with teams across multiple departments in order to develop performance metrics aligned with company objectives.

Senior Pharmacy Financial Performance Analyst

RxBenefits
Dallas
02.2020 - 03.2024
  • Support the account team in preparation for delivery of all client related reports associated with financial performance
  • Responsible for reporting and management of the delivery of reports for the responsible client bases
  • Responsible for the accuracy of the reports and preparation of the materials
  • Provide interpretation of reports and reporting documentation to demonstrate the performance of our client contracts
  • Actively participate on calls with strategic clients to deliver results
  • Responsible for the preparation and accuracy of results in advance of calls with and delivery to clients
  • Determining reason for rebate and contract underperformance when this occurs.
  • Support AM team with trend management - promoting overall trend performance of all clients
  • Serve as SME for all account related contract guarantee reports, and provide training to the AM team

Pharmacy Financial Performance Analyst

RxBenefits
Dallas
01.2018 - 02.2020

Account Manager

RxBenefits
Dallas
02.2017 - 01.2018

Relationship Manager

WageWorks
Irving
09.2016 - 02.2017
  • Develop and maintain positive professional relationships with current clients. Responsible for oversight of daily activities of entire book of business with focus on minimizing account issues, identifying issue trends, analyzing root cause, and proactively managing client needs and expectations.
  • Act as the client/partner advocate for best practices and provide direct support to a client's administration of COBRA and Direct Bill services.
  • Manage and coordinate the open enrollment process for clients. Oversee and perform analysis of statistical data to provide enrollment overview.
  • Work across internal organizations to resolve issues and improve internal processes that affect customer satisfaction.
  • Review and manage system generated reports to proactively identify trend and potential issues.
  • Support standing meetings as needed with clients to provide updates on outstanding issues and enhancements.

Senior Account Manager

CVS Health
Irving
02.2012 - 09.2016
  • Accountable for managing professional relationships with assigned book of business. Administer benefit plan set up and changes, resolve member eligibility and issues, analyze complex problems via statistical data, identify trend and root cause to drive practical solutions. Provide timely and accurate responses to all client contacts.
  • Lead and engage in collaborative projects for the company. Example: Lead initiative to move macro requests from email format to a system generated request. The integral part in defining the importance of macros to increase efficiency and accuracy within the account management department.
  • Work closely with Strategic Account Executive to ensure clients are capitalizing on full potential cost savings.
  • Serve as a Subject Matter Expert on various internal programs and processes. Examples: Reporting, Accumulations, Rx Claims Adjudication System, Overrides, and Client New Group Implementation.
  • Served as a mentor for current account managers and new hires through training, coaching and ongoing support.
  • Develop an internal network of appropriate Caremark resources across multiple departments to support client needs.
  • Experience managing accounts for health plans and third-party administration. Managed accounts ranging from 60,000 to 1.3 million members.

Site Account Manager

Principal Financial Group - Wellness Division
01.2007 - 09.2011
  • Manage direct account responsibility for business activities nationwide, serving as the focal person for clients with populations ranging from 25-5,000 employees.
  • Consistent, direct communication with client representatives to properly evaluate needs, eliminate barriers to success, and ultimate timely resolution of concerns to maintain corporate partnership with Principal Wellness.
  • Build lasting, meaningful relationships with all ranks of client employees (front line staff to executive management). Nurtured and expanded existing customer relationships.
  • Evaluate each aspect of the client's program to determine levels of positive outcomes, client satisfaction and areas of improvement.

Education

Bachelor of Science - Exercise Science

Indiana Wesleyan University

Skills

  • Power Bi
  • Excel
  • Salesforce
  • SAS

Experience

Experience working with financial reporting and analytics in the PBM segment with the 3 largest PBM’s: CVS/caremark, OptumRX, and Express Scripts.

Handle producing reports such as:

- Effective Rate Performance - how the plan (group/client) is performing to their contract guarantees/rates.

- Pricing Comparison/Pricing Refresh - compares plans current contract rates/rebates to next years and/or a different formulary/maintenance program/network or a different PBM.

- Reverse Reprice - compares the plans prior rates/rebates/fees to what they moved to under RxB to show the value of making the change

- Plan, Member, Formulary, and Pharmacy Network Disruption - provide any savings/increase in cost to the plan with a change. Also provides any negative/positive/neutral member impact.

- Rebate Projections - provides what the plan can expect in rebates with the claims filled thus far  based off their contract rebates.

- Copay Modeling - provides any plan savings or cost increase as well as member impact, both positive/negative.

- Maintenance Program Impact - provides any potential savings/increase in cost to the plan as well as member impact.

- Preventative Impact - provides savings/cost increase with a change/add/removal of preventative lists to the plan. Provides member impact as well.

- Assist with clinical programs - impact/savings/disruption from various clinical programs RxB or the PBM’s have to offer.

Timeline

Senior Pharmacy Financial Performance Analyst - Product Enhancement

RxBenefits
03.2024 - Current

Senior Pharmacy Financial Performance Analyst

RxBenefits
02.2020 - 03.2024

Pharmacy Financial Performance Analyst

RxBenefits
01.2018 - 02.2020

Account Manager

RxBenefits
02.2017 - 01.2018

Relationship Manager

WageWorks
09.2016 - 02.2017

Senior Account Manager

CVS Health
02.2012 - 09.2016

Site Account Manager

Principal Financial Group - Wellness Division
01.2007 - 09.2011

Bachelor of Science - Exercise Science

Indiana Wesleyan University
William Ashmore