Strategic Alliances and Business Development, Project Management, Operations,Finance

Co-founder of all-encompassing web-based EBM platform that specifically addresses the operational needs of the healthcare industry. The SevenR Health platform is an entirely mobile, cloud-based system that will integrate with all existing programs and offer a new set of best-of-breed features to implement countless new efficiencies into a hospital or practice. Using leading-edge, proven compliance, audit, and business intelligence software technology, the Company will offer fully scalable, web-based solutions for an organization’s operations, human resources, compliance, quality control, and financial departments. Using real-time data, intelligent forms and reports, easy-to-use dashboards, and workflow scheduling software, the operations, back-end management, and reporting of a hospital or large practice will be streamlined from top to bottom. Along with state-of-the-art security safeguards, the SevenR Health platform will help save money, reduce redundancy, increase health safety, and reduce fraud, among other benefits.Designed to target large healthcare providers in the U.S.and based in San Diego, we offer a core management team that has operated at the upper-management level in a variety of healthcare disciplines for the past few decades. The team has also operated directly in SaaS compliance automation for more than a decade, including with Compliance Metrix’s Requirements Live (RQL) platform, which is currently used by major companies in the food, hospitality, retail, pest control, and financial industries. RQL has been used by over 150 businesses and 120,000 active users, with a platform that has built over 200 applications in two distinct cloud infrastructures and across 6 industries.

Executive Director & Principal Consultant - Managing a diverse portfolio of strategic consulting projects for companies in the healthcare sector enabling them to overcome practical and technical obstacles necessary to accomplish growth and business goals. Leverage broad industry knowledge, strategic and operational expertise to drive innovative approaches. Conduct feasibility assessments and advise clients on tactical direction to achieve short and long-term goals. Provide guidance and direction to C-suite executives on regulatory compliance, channel strategy, contract negotiations, Payer relations, coverage and reimbursement, industry best practices, and building strategic alliances. Design and deliver integrated technology and business process management solutions. Significant experience working with software development teams, intergrating technology and redesigning business processes to enhance revenue, reduce risk and optimize clinical outcomes. Depth in physician practice-management, electronic medical records and health information exchanges, formulary design & drug utilization, inventory management, revenue cycle management, reimbursement forensics, finance administration & audits, strategic planning and facility desgin and management. Extensive business development in the healthcare industry with multi-segment clients in competitive markets.

Founder / President & CEO - Built company from inception to become a leading provider of financing solutions for high cost therapeutics & services, underwriting reimbursement and insurance claims for specialty bio-pharmaceutical manufacturers, healthcare providers, and medical practices administering high cost therapeutics for complex diseases. Designed original business processes, operational plans, and underwriting guidelines. Collaborated with strategic partners and technology vendors on project scope, design, and technology architecture, including primary software capabilities. Integrated multi-national outsourcing hubs into stateside business operations.

Vice President, Business Development & Strategic Alliances - Spearheaded relationship development with specialty manufacturers for national specialty pharmacy and specialty distribution company. Developed and launched unique patient access, compliance and adherence, and financial assistance pharmacy programs for specialty biotechnology and pharmaceutical companies. Programs provided enhanced access to patients requiring immediate clinical attention and expedited dispensing for high cost drugs and biologics for patients. Developed and launched specialty healthcare finance company - Centric HCF

Director, National Accounts; Pricing, Reimbursement, and Government EconomicsLed development of payer, distribution, and channel partnering strategies for anticipated launch of complex orphan drug for the treatment of lupus. Identified strategic partners and negotiated contracts for Specialty Distribution, Specialty Pharmacy, and Corporate Accounts. Built collaborative relationships with Regulatory Affairs to develop proposed product labeling and create market mobilization plan to disseminate clinical messaging and medical education via Medical Science Liaisons, National Account Managers and Key Opinion Leaders.

Regional Account Manager Government Economics, Northeast Region (2001 – 2002) - Developed and managed strategic relationships with Fiscal Intermediaries and Carriers to maximize product access and drive sales. Collaborated with Sales & Marketing, Regulatory, Medical Affairs, Legal, and Finance to develop optimal product launch strategies and execution plans for Neulasta®, Kineret® and Aranesp®.

Corporate Account Manager – Channel Sales (1999 – 2001) - Developed execution plans for new programs in specialty distribution and pharmacy segment to open access through retail channels, attain coverage and reimbursement for Amgen products. Cultivated relationships with key Specialty Distributors, Specialty Pharmacy accounts and large Wholesaler Specialty divisions.

Manager, Government Programs, Pricing and Reporting (1998 – 2000) - Provided leadership and company compliance for Amgen’s Government Pricing programs, including Federal Supply Schedule (FSS), Public Health System (PHS) and State programs, and payment and reconciliation of Medicaid Rebates. Managed City, County, State and Federal solicitations and pricing compliances. Worked closely with Health Care Financing Administration (HCFA) Program Directors and Medicaid Directors through multi-year dispute resolution process, and quarterly claims and Unit Rebate Amount validation and reconciliations.

Manager, Wholesaler Operations (1997 – 1999) - Managed all contract pricing, program eligibility and technical operations with Authorized Wholesalers and strategic trading partners. Developed advanced contract management models, managed chargebacks, complex product pricing, and variable marketing programs will all classes of trade. Provided direction and support for Amgen Patient Assistance Programs.

Senior Manager, Contract Administration and Discounts – Contract Sales (1996 – 1997) - Managed department responsible for over 1,800 product sales agreements covering 1000’s of facilities accounting for over $2 billion in annual sales. Managed execution of $175mm in annual customer contract incentive payments and rebates. Designed multiple contract incentive programs and data acquisition strategies with Sales & Marketing, Corporate Accounts and strategic Channel Partners.

Senior Manager Procurement Development – Logistics Operations (1994 – 1996) - Led process-reengineering efforts for the Corporate Purchasing Department. Served as Technology Procurement Leader for integrated document-management and procurement system. Redrafted all of Amgen’s corporate purchasing contracts, Software Licensing Agreements and developed internal procurement SOPs for regulated materials and supplies.

Senior Contract Administrator – Purchasing Department (1992-1994) - Drafted and negotiated capital construction contracts, including extensive Scope-of-Work provisions, complex commercial terms, and comprehensive general terms. Managed a $50mm annual construction budget. Served as lead negotiator and contract strategist for several multi-million dollar projects.