Clinical Specialist
CurrentTwo detailed examples of the types of projects I’ve done:1. When Wegovy was approved for heart disease, I found the information or determined the process to answer the questions below: -What kind of financial impact would this have for payers? -Which exact ICD 10 codes/disease states should qualify? -How are other payers handling this approval? -What are some strategies to maximize value and minimize waste? -Will there be other disease states approved in the future for GLP-1s?2. Help employers/payers visualize and understand their pharmacy spending (aka what should be the foundation of pharmacy benefits): -Aggregate pharmacy claims into excel exhibits or PowerBI dashboards -Identify opportunities for savings, reducing waste, or poor performance compared to benchmarks -Evaluate historic pharmacy spend and predict future trends -Do deep dives on specific drugs (like GLP-1s above)Some other quick examples:-When a new drug is released or loses patent exclusivity, where will utilization shift?-Evaluate the healthcare and financial model of a healthcare startup-Review a formulary compared to competitors-How can pharmacists be better utilized in the system?