Alicia Williams Email and Phone Number

As the Senior Director of Product Management at Carelon, I oversee the strategic migration of Utilization Management Review business processes for both Specialty and Retail Pharmacy. My role involves directing operational and administrative functions to seamlessly integrate these processes into our benefits management division. I actively collaborate with organizational leaders across functional teams to ensure rigorous adherence to all compliance, regulatory, and accreditation standards during the migration.I lead the operational readiness and administrative initiatives, preparing our teams through comprehensive training and strategic planning for the launch of an innovative Pharmacy solution aimed at optimizing care for our members, improving the provider experience and enhancing our competitive stance in the healthcare market. My partnership with product managers is crucial in driving the flawless execution of our Rx product strategy, ensuring it meets the dynamic needs of the healthcare marketplace.Additionally, I manage diverse project teams tasked with implementing complex regional and company-wide initiatives. These projects often involve significant network/provider changes, address staffing impacts, and refine medical management processes and policy initiatives, all aimed at optimizing our service delivery and patient care outcomes.

- Led the End to End Process Review for Management of Specialty Health Programs for Elevance Members, redesigning business processes and IT infrastructure to optimize service delivery and customer experience.- Developed comprehensive business cases for Specialty Health and Pharmacy Optimization programs, achieving significant operational efficiencies.- Established program governance structures for the automated management of specialty medical benefits, ensuring compliance with regulatory standards and best practices.

• Leader of enterprise-wide initiative to apply penalties against providers for non-compliance with prior authorization guidelines. Annual ROI documented was approximately $40 million.• Managed product development of a new application for member management (LERD), resulting in $15 million in annual savings. Multiple business and impacts, including Claims, Provider Management, Utilization Management, Grievance and Appeals, Customer Service and Payment Integrity.

Consultancy specializing in Drug Diversion Prevention and Pharmacy Supply Chain Optimization for Healthcare systems. FullSightRx offers advisory services in the use of technology solutions to maximize cost savings for Pharmacy and implement quality and performance improvement initiatives.Services include: - Development of Drug Diversion Programs and Educational modules- Medication Charge Capture and Billing- Development of Cost Reduction Strategies for Inventory Management- Healthcare Automation Consultations (including input in selection of applications and devices, collaboration in development of workflow procedures and business requirement design) - Creation of Medication Management Policies and Procedures

Results-driven Program/Project Execution Director with a proven track record of leading and executing transformative initiatives within the healthcare industry. Skilled in developing and executing comprehensive business cases, implementing robust oversight mechanisms, and establishing effective program governance structures for health systems and payors. Adept at providing strategic guidance and cross-functional oversight to drive collaboration, achieve program milestones, and deliver operational efficiencies. Known for spearheading successful utilization management initiatives and optimizing operations to enhance member and provider experiences. Strong expertise in managing project teams, collaborating with stakeholders, and developing effective presentations for C-Suite/Senior leadership.

• Managed cross-functional project team overseeing the 18-month implementation of a new automated medication distribution system for all NYP campuses. (>$3M in capital expenditures)• Defined and assessed project scope, goals and deliverables that supported hospital technology initiatives in collaboration with senior management and stakeholders. Developed and managed the project plans, work breakdown structures, and schedules to ensure project milestones and deliverables were met for rollout of automated Pharmacy systems.• Gathered and assessed user requirements and vendor product offerings and identified process and workflow changes required to meet the implementation goals.• Defined project success criteria and measureable metrics, created status updates and reports and disseminated them to key stakeholders throughout the project life cycle.• Planned and managed the activities for go live and post-go live support for Pharmacy automation systems.• Managed relationships with vendors and procurements for IT systems in collaboration with the hospital purchasing division. • Collaborated with IT team members for the integration and rollout of Allscripts Sunrise Pharmacy system.• Managed project team consisting of Pharmacy, Procurement and IT to implement a carousel system for Central Pharmacy inventory, resulting in 20% annual cost savings in pharmaceuticals.

Offered Pharmacy consulting services for retail pharmacies and skilled nursing facilities. Services offered included Drug Utilization Review, Formulary Review and Relief Pharmacist services.

Spearheaded the development of one of the few, onsite medication management programs in home health care in the country. Accomplishments include the development and implementation of policies and procedures in the drug utilization review for geriatric and psychiatric populations and the creation of educational programs to broaden pharmacology knowledge and teach medication management and documentation procedures.

Oversaw the professional development and orientation of pharmacy practice residents through teaching and mentoring. Supervised PharmD residents’ work activities and ensured adherence to established policies and procedures. Provided clinical pharmacy expertise to other health care practitioners to create patient care plans.

Responsible for supporting the clinical pharmacy and medication management technology applications in an organization with advanced clinical automation, including a computerized physician order entry (CPOE) system. Project Leader for implementation of an Emergency Department CPOE application and wireless barcode medication administration application for nurses. Developed and recorded a web-based education module for nurses covering the use of technology in medication administration.

Evaluated medication orders for acute care patient and long term care residents and dispensed medications accordingly. Performed Drug Regimen Review for Adult Day Care Center patients. Counseled patients prior to discharge on proper medication use and possible adverse effects. Participated in hospital interdisciplinary rounds in patient care areas with physicians, nurses and other ancillary clinicians.