Beth Mauer Email & Phone Number

Chicago, Il, Us

Recruited to Huron to assist in building employee prescription practice for our clients.Provided PBM subject matter expertise to clients and Huron teamDeveloped pharmacy claim data analysis tool to identify savings opportunitiesContributed to intellectual property of Huron Healthcare for employee prescriptions and PBMsDeveloped best practice PBM contract language

Provided consulting expertise to a variety of clients through independent contracting arrangements.Provided managed care and pharmacy benefit management expertise to a pharmaceutical manufacturers

Developed a comprehensive four-year strategy for specialty drug management.Led an in-depth “as is” assessment of twelve BCBS plans’ specialty pharmacy management through multi-disciplinary client meetings. Drove the development of a framework for combining medical and pharmacy data among BCBS plan owners.Provided expertise in the development of specialty drug management opportunity analysis of pharmacy and medical claims.Supported sales and account management process through the development and execution of internal and external training programs and attended client meetings as the subject matter expert in specialty pharmacy.

Provided consulting expertise to a variety of clients through independent and contracting arrangements. Participated in development and design of a new core pharmacy and therapy management system for a specialty pharmacy.Facilitated a two-day interactive seminar on specialty pharmacy topics; this seminar targeted a home infusion provider just entering the specialty pharmacy business. Established detailed business requirements and proposed implementation plan applicable to utilization and clinical specialty reports for a specialty pharmacy provider.Provided expertise and leadership to a pharmacy provider in the development of mail order, specialty pharmacy and home infusion report presentation layers, including physical deliverable to target MCO accounts and external stakeholders.

Provided pharmacy subject matter expertise during design of Call Center SAP CRM application for a large retail pharmacy chain.Assisted in a current state assessment of the market and inventory of products and services for the Home Diagnostic and Home Monitoring Market for a large PBM client.Partnered in the development of a 5-year forecast and strategic long-term options for a large PBM in the Home Diagnostic and Home Monitoring Market.

Co-Founder of Medmark Inc., a specialty pharmacy that grew revenues from $50 M to over $250 M in three years prior to being sold to Walgreens.Developed and implemented enhanced clinical programs, data collection and reporting for specialty conditions.Responsible for client reporting. Collaborated with health plan for outcome data analysis and proof-of-value of specialty pharmacy program. Oversaw manufacturer trade relations. Led contract/agreement negotiations, implementation.Responsible for manufacturer reporting.Negotiated client contracts, implementation and ongoing account management.Presented to prospective and current clients, and participated in sales and marketing meetings.Contributed to the company’s first Specialty State of the Industry publication.Frequent speaker at specialty and pharmacy national meetings.

Responsible for marketing, selling, managing and participating in a variety of health care consulting engagements. Developed large health plan’s pharmacy program strategy and pharmacy benefit vendor requirements. Identified key factors and issues to consider, data requirements to review and decision framework and methodologies to determine strategic conclusion.Participated in a turnaround project for a large Health Plan. Identified and prioritized short- and long-term opportunities in Pharmacy and Medical Management to improve profitability. Specifically reviewed all aspects of the Pharmacy Benefit Management Plan (i.e., the formulary, benefit plan design, physician prescribing patterns, member utilization, etc.). Assessed their current network and rebate arrangements to determine considerations/benefits/risks of alternative strategies for alliances.Provided expertise to a large Health Plan in evaluating their Pharmacy Benefit Management Plan for PBM vendor price re-negotiation. Specifically, reviewed all aspects of the Pharmacy program and vendor service in comparison to benchmarks to make recommendations for pricing as well as program improvements. In addition, assisted the Health Plan in identifying and prioritizing the short- and long- term opportunities for cost containment.Evaluated and analyzed a current-versus-proposed prescription drug benefit manager for a large employer group.Partnered with a large multi-institutional organization evaluate degree to which their home care divisions complied with Medicare billing and coding regulations.Conducted a Medicare compliance audit for a hospital-based home care and DME company.Participated in assessment of Medicaid prescription drug compliance of two hospital pharmacies.

Mba, Finance

Pharm.D., Pharmacy

Bs Pharmacy, Pharmacy

Ab, Biology

Activities and Societies: Co-captain women's swim team