Amit Kaur Khurana Email & Phone Number

United States

Minnetonka, Mn, Us

Led the pharmacy function’s strategic direction and implementation for the organization. Provide leadership and direction in the development and delivery of all Medica Pharmacy programs and services including network and product management, pharmacy benefits manager (PBM) relationship management to include contract negotiations, and ensure all programs, products, and processes fully align with corporate objectives to provide differentiated offerings to exceed market and customer requirements.

Hartford, Connecticut, Us

Implemented the CA health plan from prior to go-live, presented successfully at the readiness review for state of CA, and had responsibility of oversight of DHCS contractual compliance and promiseto State in providing pharmacy services for Medi-Cal members enrolled in the Health Plan. Also responsible for implementation of all policies and procedures, developed and managed formulary, step therapy and utilization management policies, pharmacy benefit structure set up, and P&T Committee formulation to comply with DMHC and DHCS regulations & ensure Federal Compliance. Played a key role in responding to, and presenting at all DMHC and DHCS audits of Health Plan. Participated in California’s Drug Utilization Review Board and led the Aetna Better Health of California Pharmacy & Therapeutics Committee. Also served on Aetna’s National DUR Board workgroup, National P&T Committee, Residency Advisory Committee.

Hartford, Connecticut, Us

Led a successful readiness review through implementation of pharmacy policies and procedures, formulary development, step therapy and utilization management policies, pharmacy benefit structure set up, and opioid lock-in program development to comply with Maryland State Laws & Federal Compliance. Also served on Aetna Medicaid’s Residency Advisory Committee and P&T Sub-Committee.

Hartford, Connecticut, Us

Responsible for leadership, oversight and development of pharmacy utilization, formulary management, step therapy policies, P&T Committee presentations, and ensure prospective and retrospective drug utilization review guidelines and criteria are met. Worked with Pharmacy Benefit Manager to ensure compliance with pharmacy benefit regulatory requirements and provide vendor management oversight. Developed the operation policies and protocol for managing the state mandated spreadsheet deliverable for all Hep C fills on monthly basis. Estimated total return to plan on the Hepatitis C process was over $50 M. Implemented strategic cost saving pharmacy initiatives leading to actual measured savings of greater than $3M.

Speaker and contractor in UCSD, School of Medicine's Geriatrics division to assist with the Geriatric Workforce Enhancement Program (GWEP) scholar education and other aims of the grant. Activities included curriculum development, creating various presentations, tech talks, leading Capstone projects for GWEP Scholars, along with speaking engagements at Geriatric conferences and symposiums. In addition, I provided written material on components of new potential grants in my area of expertise.

Washington, Dc, Us

Panel members appointed by Secretary of Defense to serve as special government employees. The Panel provides independent advice and recommendations on the development of the uniform formulary. The Secretary of Defense considers the comments of the Panel before implementing any changes to the uniform formulary as suggested by the DoD P&T Commitee. The uniform formulary affects 9.7 million beneficiaries (active duty/retired uniformed services members & families).

Minnetonka, Mn, Us

Responsible for innovative program development and leading the medication therapy management program, including writing all related Policies and Procedures, NCQA accreditation, and education of medical management clinical staff. Key role and liaison for Disease and Case Management, Behavioral Health, and Medical Directors. Also, served as SME for Program Integrity in development of 1-1-1 Prescription restriction program for narcotic seeking beneficiaries to meet TRICARE /DoD contractual requirements. Lead and guide dataanalysis to meet key pharmacy metrics using Pharmacy Data Transaction Service (PDTS). Assist in development of appropriate gaps in care messaging for Providers and Members. Guide PA department with routing of Specialty medications.

Phoenix, Az, Us

Responsible for developing a medication management program within a multi-disciplinary disease management program that includes nurses, social workers, pharmacist and respiratory therapist. This program included concurrent and retrospective drug utilization review and tracking outcomes, for patients enrolled in the disease management program involving six chronic diseases: asthma, CHF, COPD, Diabetes, Depression and Anxiety. URAC accreditation; serve as SME in Weight management, Carb counting program and Tobacco cessation programs.

Louisville, Kentucky, Us

Responsible for resolving issues relating to drug/disease management while lowering drug costs through the use of efficacious generic alternatives, ensuring patient care and mail order pharmacy benefits through interaction with members, doctors, and nurses.

Woonsocket, Ri, Us

Omaha, Ne, Us

Deerfield, Il, Us

Omaha, Nebraska, Us

Collaborated with instructors of record (IOR) for respective courses to ensure high quality learning experiences. Facilitated the comprehension of on-line didactic material and active learning by providing students with examples from professional practice. Assisted with ACPE accreditation.

Doctor Of Pharmacy - Pharmd, Pharmaceutical Sciences

Executive Development Program

Bachelor Of Science (Bsc), Pharmacy