Amit Kaur Khurana

Amit Kaur Khurana Email and Phone Number

Principal Consultant @ AK Consulting Services
20 Lexington Dr, Bella Vista,New South Wales 2153,Australia
Amit Kaur Khurana's Location
United States, United States
About Amit Kaur Khurana

๐—œ ๐—ฎ๐—บ ๐—ฎ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ถ๐—ป๐˜€๐˜‚๐—ฟ๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—ฒ๐˜…๐—ฒ๐—ฐ๐˜‚๐˜๐—ถ๐˜ƒ๐—ฒ who drives healthcare strategy while increasing the wellness of targeted populations such as the elderly (Medicare) and underserved communities (Medicaid), along with commercial, ACA and TRICARE business. I develop innovative, metric-driven, holistic solutions that increase revenue, reduce costs while centered on the member. My teams strengthen strategic partnerships with physician groups, hospital systems, and accountable care organizations (ACOs), enabling higher quality and lower cost solutions. My areas of expertise include establishing strong PBM relationships and accountability through market checks and RFPs, benefit design, pharmacy product development, accreditation and ensuring compliance. Highly analytical, I work with actuarial and healthcare data teams to monitor pharmacy spend and trends to support budget forecasting and product pricing. My teams are attuned to policy and regulatory changes that potentially impact future plan costs.As a leader, I establish a culture that values analysis and collaboration. We partner across functions and lines of business and minimize organizational silos. As a member of the leadership team, I am trusted to provide a comprehensive understanding of all potential impacts to the health plan โ€“ operational, compliance and financial.

Amit Kaur Khurana's Current Company Details
AK Consulting Services

Ak Consulting Services

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Principal Consultant
20 Lexington Dr, Bella Vista,New South Wales 2153,Australia
Employees:
9
Amit Kaur Khurana Work Experience Details
  • Ak Consulting Services
    Principal Consultant
    Ak Consulting Services
    United States
  • Medica
    Vice President, Pharmacy
    Medica Feb 2022 - Jun 2024
    Minnetonka, Mn, Us
    Led the pharmacy functionโ€™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.
  • Aetna
    Pharmacy Director, Aetna Better Health Of California
    Aetna Oct 2017 - Jan 2022
    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 Californiaโ€™s Drug Utilization Review Board and led the Aetna Better Health of California Pharmacy & Therapeutics Committee. Also served on Aetnaโ€™s National DUR Board workgroup, National P&T Committee, Residency Advisory Committee.
  • Aetna
    Pharmacy Director, Aetna Better Health Of Maryland, Aetna Medicaid
    Aetna Jul 2017 - Oct 2017
    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 Medicaidโ€™s Residency Advisory Committee and P&T Sub-Committee.
  • Aetna
    Corporate Pharmacy Director, Maryland Physicians Care, Aetna Medicaid
    Aetna May 2014 - Jul 2017
    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.
  • University Of California San Diego, School Of Medicine
    Consultant And Faculty For The Sd Gwep
    University Of California San Diego, School Of Medicine 2018 - 2019
    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.
  • United States Department Of Defense
    Consultant, Uniform Formulary Beneficiary Advisory Panel
    United States Department Of Defense Jun 2012 - Jun 2014
    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).
  • Unitedhealthcare
    Disease Management Clinical Pharmacist, Unitedhealthcare Military & Veterans
    Unitedhealthcare Jul 2013 - May 2014
    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.
  • Triwest Healthcare Alliance
    Disease Management Clinical Pharmacist
    Triwest Healthcare Alliance Nov 2010 - Mar 2013
    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.
  • Humana
    Member Services Pharmacist
    Humana Oct 2007 - Oct 2010
    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.
  • Cvs Caremark Corporation
    Clinical Services Pharmacist
    Cvs Caremark Corporation Oct 2006 - Sep 2007
    Woonsocket, Ri, Us
  • Kohll'S Pharmacy & Homecare/Essential Pharmacy Compounding/Preventative Medical Clinic
    Pharmacist
    Kohll'S Pharmacy & Homecare/Essential Pharmacy Compounding/Preventative Medical Clinic Jun 1996 - Jun 2006
    Omaha, Ne, Us
  • Walgreens
    Staff Pharmacist
    Walgreens Dec 2003 - Oct 2004
    Deerfield, Il, Us
  • Creighton University
    Academia - Anatomy & Pharmacy Courses
    Creighton University Aug 2001 - Dec 2003
    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.

Amit Kaur Khurana Education Details

  • Creighton University
    Creighton University
    Pharmaceutical Sciences
  • Kellogg Executive Education
    Kellogg Executive Education
    Executive Development Program
  • The University Of British Columbia
    The University Of British Columbia
    Pharmacy

Frequently Asked Questions about Amit Kaur Khurana

What company does Amit Kaur Khurana work for?

Amit Kaur Khurana works for Ak Consulting Services

What is Amit Kaur Khurana's role at the current company?

Amit Kaur Khurana's current role is Principal Consultant.

What schools did Amit Kaur Khurana attend?

Amit Kaur Khurana attended Creighton University, Kellogg Executive Education, The University Of British Columbia.

Who are Amit Kaur Khurana's colleagues?

Amit Kaur Khurana's colleagues are Gedeon Badila, Jane Picksley.

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