Provide consultative services to non-profits, healthcare companies, political campaigns, etc.

Responsible for assisting with the development and implementation of Government Relations and Policy agenda for BCBST. Lead activity to track, analyze and distribute Affordable Care Act and other regulatory provisions. Manage completion of required responses to agencies and industry groups consistent with the approved goals and strategies within BCBST. Build and manage external relationships essential with regional and federal government staff members (e.g., CMS, HHS) in advancing the success of ACA implementation. Knowledgeable on national healthcare policy. Initiate and manage ongoing relationships with locally appointed and elected officials and other external civic stakeholders with Senior Leadership Team.

Responsible for leading efforts at BCBST to adapt business practices to comply with the Affordable Care Act passed in 2010. Directly managed a team of four (4) non-exempt employees and indirectly led ACA tasks for a team of fifteen (15) Director/Manager employees from various areas of the Enterprise. Address healthcare reform mandates, assess their impact on the business, plan and direct defined activities with business units for execution and ensure effective implementation of solutions, strategies and opportunities across the Enterprise.

Managed all aspects of the business relationship with the Pharmacy Benefit Managers (PBMs) for BCBST’s Pharmacy Program for all lines of business. Directly managed a team of five (5) non-exempt employees and indirectly led pharmacy related tasks for a team of fifteen (15) employees from various areas of the Enterprise and a dedicated PBM Account Team of ten (10) employees.Successfully implemented BCBST’s Part D and Cover Tennessee products, including contract development in accordance with CMS/State regulatory requirements. Led PBM RFP process in 2011 which led to new PBM Agreement with estimate savings of $200M over 3 years. Managed, coordinated, and prioritized activities of the Pharmacy Benefit Manager (PBM) to meet Enterprise goals and objectives (Total covered lives—2.4 million; annual total pharmacy drug spend over $1 billion).