Pharmacist
CurrentPRN work to cover for pharmacists. Primarily community pharmacy settings.
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@cvshealth.com
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Ann T Mcleod, Rph is listed as Director of Pharmacy | Pharmacist | Managed Care | Pharmacy Consultant at Healthcare Consultants USA, based in Tallahassee, Florida, United States. AeroLeads shows a work email signal at cvshealth.com and a matched LinkedIn profile for Ann T Mcleod, Rph.
Ann T Mcleod, Rph previously worked as Pharmacist at Healthcare Consultants Usa and Gap year at Career Break. Ann T Mcleod, Rph holds Bachelor Of Science - Bs, Pharmacy from The University Of Georgia.
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Known as a high energy and creative pharmacy leader with a “can-do” attitude and whose passion is to go above and beyond to improve and/or develop compliant pharmacy operations and clinical pharmacy programs through effective team leadership. Accomplished professional with strong critical thinking, analytical, organizational, presentation and communication skills. Experienced in managing diverse practice settings such as retail pharmacy, inpatient hospital pharmacy, skilled care/long term care pharmacy, behavioral health, and a major staff-model health plan (managed care). Looking for a new opportunity where I can offer solutions using my expertise in: • Extensive experience in implementing commercial and Med D programs• Implementing/maintaining compliant clinical pharmacy programs and operations • Formulary development/maintenance including utilization management tools• Developing clinical criteria for medication use• Developing clinical pharmacy programs to meet HEDIS and Star Ratings • Experienced in overseeing MTM programs• Leading project teams • CMS audit preparation• Experience with monitoring for Fraud, Waste and Abuse• Experience with JCAHO standards and NCQA• Analyzing pharmacy claims data to monitor utilization management effectiveness, determine utilization trends and pharmacy trend • Performing drug utilization reviews (DUR)• Implementing quality improvement programs and procedures which meet or exceed requirements• Managing personnel through training, mentoring, coaching and providing performance evaluations• Coordinating RFP response for employer groups seeking pharmacy benefits • Coordinating RFP process for choosing a new PBM • Working with the health plan’s pharmacy benefits manager • Pharmacy benefit design subject matter expert• Serving on pharmacy & therapeutics committees in both institutional and managed care organizations
Listed skills include Healthcare Management, Healthcare, Customer Service, Healthcare Information Technology, and 15 others.
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PRN work to cover for pharmacists. Primarily community pharmacy settings.
Took a breather from retail pharmacy then covid struck. Afterwards I moved to Tallahassee, and took my time unpacking and settling.
Woonsocket, Ri, Us
Held positions as both floater pharmacist and pharmacy manager requiring flexibility and adaptability when working in a fast-paced, physically demanding retail pharmacy operation. Counseled patients on their medications, encouraged adherence with medication use and administered immunizations all with the goal of improving the health of our patients. Studied data reported to see where we stood in company metrics. Managed inventory levels per company inventory management system.Looking for new opportunities to better utilize my skills and expertise in:. Hospital Pharmacy. Long Term Care Pharmacy. Managed Care Pharmacy
Pharmacy Consultant with strong management, operational, project team, managed care, hospital, long term care and retail pharmacy experience. Expertise in developing/implementing a variety of compliant clinical and operational programs and projects related to pharmacy in general, as well as, hospital pharmacy, outpatient surgery centers and managed care in particular.Skilled at process improvement, team building, quality improvement, pharmacy benefits design and regulatory compliance. Extensive Medicare Part D program management experience.Always seeking new opportunities to increase revenue and decrease cost.Seeking new opportunity where I can offer solutions using my expertise in: Extensive experience in implementing commercial and Med D programs• Implementing/maintaining compliant clinical pharmacy programs and operations • Formulary development/maintenance including utilization management tools• Developing clinical criteria for medication use• Developing clinical pharmacy programs to meet HEDIS and Star Ratings • Experienced in overseeing MTM programs• Leading project teams • CMS audit preparation• Experience with monitoring for Fraud, Waste and Abuse• Experience with JCAHO standards and NCQA• Analyzing pharmacy claims data to monitor utilization management effectiveness, determine utilization trends and pharmacy trend • Performing drug utilization reviews (DUR)• Implementing quality improvement programs & procedures which meet requirements• Managing personnel through training, mentoring, and providing performance evaluations• Coordinating RFP response for employer groups seeking pharmacy benefits • Coordinating RFP process for choosing a new PBM • Working with the health plan’s pharmacy benefits manager • Pharmacy benefit design subject matter expert• Serving on pharmacy & therapeutics committees in both institutional and managed care organizations
Tallahassee, Florida, Us
• Managed the Pharmacy Services Department for a non–profit HMO that consistently ranked among the nation’s top health plans by both NCQA and CMS based on quality standards, member satisfaction and clinical performance for services provided to over 125,000 members in the Florida Big Bend Region• Created a sound infrastructure to implement operational and clinical programs, ensure quality, and optimize cost effectiveness, building a department that passed all CMS audits, met all accreditation standards, as well as complied with state and federal regulations• Responsible for overseeing the Commercial Pharmacy Benefit and was the Part D subject matter expert• Worked closely with the health plan’s Pharmacy Benefits Manager (PBM) to ensure benefits were accurately loaded in their system and paid claims accurately reflected the plan’s pharmacy benefit• Performed self-audits as required by Medicare Part D especially looking for fraud, waste and abuse• Regularly assessed practices to identify opportunities to improve processes• Examined business trends to project financial needs and managed the department budget to ensure accountability and attain optimal value• Coordinated Request for Proposals (RFPs) to select a new PBM• Controlled the pharmacy trend through formulary management, utilization management, increased generic dispensing rate, and encouraged use of cost-effective distribution channels such as specialty, 3-month supply at retail, and mail order pharmacy• Collaborated with other departments on various projects including monitoring quality improvement initiatives (HEDIS and Star Ratings), responding to various employer groups’ RFPs, and preparing for plan-wide CMS audits• Lead and/or served as member of several project teams• Served on the following committees: Compliance Committee, Fraud, Waste & Abuse Committee, P & T Committee, Pharmacy Services Committee and Pharmacy Continuous Quality Improvement Committee
• Promoted to director position after nine years of successfully implementing and managing operations of new programs as staff pharmacist and later Senior Pharmacist in the health system pharmacy department • Areas of responsibility were satellite pharmacies in the Behavioral Health Center and Extended Care/Long Term Care facility as well as The Professional Pharmacy, the retail pharmacy located on the health system campus• Coached and managed personnel in my division in all areas of operations and clinical programs• Served on the Pharmacy & Therapeutics Committee for the health system• Served on the TMH Interactive Quality Management Patient Medication Administration Key Process Team; acted as Chair of the group’s ad hoc committee that researched options and formulated justifications based on manual systems data to implement an automated dispensing system allowing medication dispensing and communication with all areas of the hospital/health system which was fully implemented after leaving the employ of TMH when a new CEO was hired• Ensured health system pharmacy department met all JCAHO standards, state and federal regulations• Managed budget for Continuing Care Services division of pharmacy services
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Ann T Mcleod, Rph works for Healthcare Consultants USA.
Ann T Mcleod, Rph is listed as Director of Pharmacy | Pharmacist | Managed Care | Pharmacy Consultant at Healthcare Consultants USA.
AeroLeads has found 1 work email signal at @cvshealth.com for Ann T Mcleod, Rph at Healthcare Consultants USA.
Ann T Mcleod, Rph is based in Tallahassee, Florida, United States while working with Healthcare Consultants USA.
Ann T Mcleod, Rph has worked for Healthcare Consultants Usa, Career Break, Cvs Health, Ann T Mcleod Consulting, and Capital Health Plan.
You can use AeroLeads to view verified contact signals for Ann T Mcleod, Rph at Healthcare Consultants USA, including work email, phone, and LinkedIn data when available.
Ann T Mcleod, Rph holds Bachelor Of Science - Bs, Pharmacy from The University Of Georgia.
Ann T Mcleod, Rph is listed with skills including Healthcare Management, Healthcare, Customer Service, Healthcare Information Technology, Clinical Research, Research, Process Improvement, and Strategic Planning.
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