Wilman Vergara
Gilbert,Arizona
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
11
11
years of professional experience
Work History
National Director, Field Reimbursement
Cencora
01.2022 - 05.2024
- Provided healthcare reimbursement solutions to several biopharmaceutical companies offering innovative solutions for their Patient Support Programs.
- Currently lead a National team of Immunology Field Reimbursement & Access Managers with five direct reports and 45 indirect reports.
- Month over month growth exceeding fulfillment and support KPIs in 2023.
- Served as Innovation expert on various projects to help bring clients innovative key differentiators in Field Reimbursement.
- Managed a million-dollar budget while finding ways to reallocate unused funds and turn it into revenue for our organization.
- Utilized reimbursement knowledge and resources to aid accounts and effectively build customer partnership.
- Compiled and analyzed CRM data to present to clients during Quarterly Business Reviews.
- Field Reimbursement lead in developing various HUB programs.
- Increased company revenue by streamlining processes and implementing cost-saving measures.
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Implemented innovative solutions to solve complex problems, resulting in increased productivity and streamlined operations.
Associate Director, Patient Support Strategy
Gilead
10.2020 - 07.2021
- Led the development and management of Covid-19 (Remdesivir) and new HIV US commercial patient support and co-pay programs and ensure alignment with patient needs and Gilead company values.
- Lead the design and implementation of a patient support HUB.
- Develop and maintain SOPs and business rules related to US patient support.
- Manage strategic advisors and vendors in support of the operation, including vendor selection contracts, SOPs, reporting requirements, and budgets.
- Define measurement of patient support program performance.
- Partner with Commercial Operations for accurate and efficient reporting on key metrics.
- Cross-functionally partnered with compliance and legal departments, to ensure all training responsibilities, policies, and procedures are met.
- Spearheaded the development and launch of a new product line, leading to increased market share and customer satisfaction.
Asst. Director, Field Reimbursement
Cencora
09.2017 - 09.2020
- Responsible for managing eight Field Reimbursement Managers (FRMs) across multiple states in the Western United States for a major product launch.
- Traveled to each region conducting Field Observations and coaching for FRMs once a quarter.
- Coordinated and facilitated a national webinar series educating healthcare providers on the reimbursement landscape, co-pay and patient assistance programs for a new drug to combat Opioid Use Disorder that required REMS.
- Mentored and coached associates when appropriate holding them accountable to reaching Key Performance Indicators.
- Conducted a quarterly ride-along and evaluations with each associate to ensure they are meeting compliance metrics and adhering to client Rules of Engagement.
- Led Cross Functional HUB leadership meetings on a weekly basis and report associate progress to the client with presentation of data.
- Led technology and CRM (Veeva and Salesforce) related projects to streamline team tracking processes as well as partnered with HUB counterparts to solve issues and escalations.
Field Reimbursement Manager
McKesson
08.2016 - 09.2017
- Responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for an innovative drug in the ENT space (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) with extensive air travel across the West Coast.
- Worked closely with Sales and Market Access Leadership to coordinate and inform regarding HOPD or ASC payer read outs as well as worked with Sales team to gain insight on accounts prior to visiting.
- Educating ENT offices of Specialty Providers on Payer landscape and services available through both remote interaction and on-site training of buy and bill processes.
- Working together with Sales Representatives as well as Central Hub personnel to work through reimbursement challenges, Benefit Investigations, Prior Authorization Assistance, Claims Review, and Appeals Support.
- Analyzed data to identify patterns and opportunities for improvement within the reimbursement process.
Medicaid Project Manager
Aetna
06.2015 - 08.2016
- Under the direction of the Director of Medicaid Migration, I coordinated and assisted in managing the migration from Coventry Health Plan to Aetna Insurance.
- I set up meetings and met with key stakeholders both internally and externally to communicate any risks and issues that may arise.
- Managed timelines via Microsoft Project Management Software and SharePoint databases.
- Worked from home when necessary as well as in office as most key stakeholders were located on the East Coast of the United States.
- Monitored budgets and conducted financial planning to ensure project stayed within budget based on client requests.
Patient Access Manager
NThrive
06.2013 - 04.2015
- Under the direction of the Regional Director for Patient Access, managed fourteen team members across three facilities in the Honor Health system.
- Mentored and led team members to reach their maximum potential towards revenue goals each month.
- Interacted with patients, both in English and Spanish when necessary to explain government assistance programs and other reimbursement options both governmental and private.
- Monitored and reviewed two separate hospital systems / databases (STAR and Epic).
- Researched and analyzed trends on both internal and external databases for optimal fiscal outcomes.
- Compiled weekly as well as monthly reports for clients to measure productivity, revenue, loss and areas of opportunity for the facilities I was overseeing.
- Responsible for the analysis of Medicaid payments to client sites as well as generated financial reports and invoicing
- Traveled as needed managing expenses as well as strict budgets with company card.
Education
MASTER'S IN HEALTH INNOVATION -
Arizona State University
12.2016
BACHELOR'S IN GLOBAL HEALTH -
Arizona State University
12.2011
Skills
- Experienced leader in National and Regional Field Reimbursement teams, Account Management, Market Access, Product HUB launches, and vendor management Languages: English, Spanish, and Portuguese
Timeline
National Director, Field Reimbursement
Cencora
01.2022 - 05.2024
Associate Director, Patient Support Strategy
Gilead
10.2020 - 07.2021
Asst. Director, Field Reimbursement
Cencora
09.2017 - 09.2020
Field Reimbursement Manager
McKesson
08.2016 - 09.2017
Medicaid Project Manager
Aetna
06.2015 - 08.2016
Patient Access Manager
NThrive
06.2013 - 04.2015
MASTER'S IN HEALTH INNOVATION -
Arizona State University
BACHELOR'S IN GLOBAL HEALTH -
Arizona State University
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