Beth Mccarty Email & Phone Number

Indianapolis, IN, US

Dayton, OH, US

Dayton, OH, US

• Managed multiple teams to ensure the design and delivery of clinical, quality and competitive pharmacy products. Areas of accountability:
• Pharmacy and Therapeutics
• Clinical and Specialty Strategy and Implementation
• Pharmacy Product Design and Implementation
• Pipeline and trend management
• NCQA-Pharmacy Accreditation

• Devloped a team to strategically manage the Medicaid pharmacy business.
• Implemented a cost of care trend management team.
• Closed significant pharmacy pmpm gap in the Kentucky market.
• Implementation of the West Virginia Medicaid pharmacy into an integrated medical pharmacy offering.
• Design and implementation of partial fill opioid program in Kentucky market, Resulted in a 43% decrease monthly of short acting opioid utilization.

• Managed State Sponsored and Individual NextRx (Pharmacy) team to support State Sponsored (Medicaid) pharmacy business end to end
• lead SSB/Individual Pharmacy client migration to Express Scripts
• optimize cost of care
• meet regulatory contractual compliance

• collaborating with Public Affairs to positively influence and shape legislation, regulation and public policy to support business and corporate objectives;
• developing and maintaining relationships with legislators and corporate lobbyists;
• monitoring and tracking federal and state legislative and regulatory issues; interpreting proposed legislation; writing summary analysis; and providing testimony;
• maintaining and ensuring regulatory and legislative compliance and effective internal controls with business operations;*Pharmacy Affairs team was eliminated and responsibility rolled under corporate government affairs.

Managed this position while back fill was being interviewed. Decision to move to Pharmacy Affairs for experience and Growth.

• Managed relationship between NextRx and the Executive teams of 14 Anthem Blue Cross and Blue Shield Plan and the UniCare Plan, totaling 8 million integrated pharmacy lives including both ASO and fully insured accounts.
• Developed an organization of 50 account managers, pharmacy directors and pharmacy service coordinators to serve as strategic client contact for account retention and support of new sales.
• Responsible for development and implementation of corporate cost of care optimization initiatives.
• Local Account Management lead for product development.
• Coordinated aggressive and successful 3 year retention strategy for key large ASO group through the collaboration of health plan and NextRx, including the briefing of the WellPoint, Inc. Chief Executive Officer
• Served as one of the executive sponsors for the successful Empire Pharmacy migration of Caremark pharmacy lives to NextRx