Alaina Gibson Email & Phone Number

Florida, United States

Fredericksburg, Va

Tampa/St. Petersburg, Florida Area

• Provided effective leadership to team to enable strategic foresight into the business objectives• Responsible for developing, implementing and governing compliance for on-going external clients. • Led cross function team to maximize key project goal milestones• Implemented strategies to increase statewide mail order performance; exceeding goal for 3 years • Worked cross functionally to develop new business and execute business objectives. • Responsible for Florida Medicare & Medicaid pharmacy functions including but not limited to: HMO, PPO, HEDIS• Facilitated program content review session with multiple key stakeholders to interface, design and development efforts to ensure requirements were met for internal and external audiences.• Updating and maintaining pharmacy program policies and procedures to ensure compliance with requirements.• Provide a consultative role in accordance with health plan initiatives that include all pharmacy components• Proficient in assessing and executing strategies for startup roles/ program roll out• Program leader for targeted initiatives aimed at driving Medicare Segment Support goals.• Presented proficiencies to c-suite payers, and aided in Pharma meetings for new drug access. • Build strategic relationships with payers and physician partners• Strategically created and collaborated business development plans for multiple sites and teams.• Equipped to discover, create, and articulate the value of an organization• Developing and implementing clinical cost of care strategies and quality initiatives as needed to help reduce pharmacy cost and utilization. • Develop and recommend strategies for the procurement and management of pharmaceutical programs and physician net revenue portfolios• Responsible for the strategy and contracting for managed care networks under the Medical Specialty Pharmacy product. • Reduced month- and year-end close time frames by generation of reporting systems.

Tampa, Florida

• Responsible for the implementation and maintenance of Humana Inc., policy and procedure manual at assigned facilities• Developed, executed, and managed marketing plan for client product lines utilizing pharmaceutical marketing strategies• Provided leadership, mentorship, applicable training and overall guidance resulting in a consistent annual increase in the overallefficiency, and quality of the team. • Highly accomplished healthcare professional with an established record of success in specialty pharmacy market, payer landscape, and integrated healthcare delivery models..• Spearhead planning initiatives and strategies to offer leadership to cross functional teams to capitalize on local market potential and customer needs to meet and exceed business goals.• Strong business acumen which impacted territories quickly to exceed corporate goals. • Responsible for providing essential prescribing information and education to healthcare providers and office staff in efforts to grow market growth.• Responsible for equipping and enabling regional thought leaders for peer-to-peer educational opportunities• Developed and executed strategies for pharmaceutical products to primary care and internal medicine physicians.• Identified and established relationships with healthcare professionals via market analysis.• Established and developed processes to effectively utilize tracker to assess territory performance and goals.• Enforced CMS pharmacy quality measures, and leverage Humana owned pharmacy resources to increase these measures and enhance patient health• On-going oversight to ensure organization is positioned as looking beyond current situation to meet changing market demands.• Provided direction and assistance to other organizational units regarding accounting and budgeting policies and procedures, and efficient control and utilization of financial resources.

• Processed new prescriptions, refill requests, electronic prescriptions and transcribed verbal prescriptions orders.• Counseled patients on new medications, advised patients on OTC medications, performed MTMs, and conducted point of care for patients who were not compliant• Administered appropriate vaccinations to eligible patients with necessary counseling • Provided consultation on proper drug regimens, contraindications, drug interactions, product availability, and pharmacy policies • Reviewed patient profiles for duplications of therapy and drug interactions • Resolved third party issues • Provided accurate information for all inquiries from patients, family members, health professionals, students • Obtained medication changes and verified prescription validity as necessary from prescribing physicians • Worked together with other physicians and nurses to provide quality patient care • Managed a pharmacy staff consisting of technicians and technicians in training • Provided training for grad interns and newly hired Staff Pharmacists • Maintained pharmacy operations, ordering and inventory, and technician scheduling. • Oversaw all aspects of pharmacy operations, resolving customer complaints, and handling required federal paperwork for controlled substances • Continually strives to achieve and maintain a culturally diverse workforce by building on team strengths and providing support for individual weaknesses but also allowing each team member to work in ways that were conducive to their needs

Doctor Of Pharmacy - Pharmd, Pharmacy

Master Of Health Administration, Health/Health Care Administration/Management

Managed Care Pharmacy Residency