Christopher Risher Email & Phone Number

Texas, United States

Woonsocket, Ri, Us

Woonsocket, Ri, Us

Woonsocket, Ri, Us

Woonsocket, Ri, Us

Accountable for the pharmacy contract and relationships with Aetna executives overseeing regulated products. Developed and executed the strategic roadmap for introducing services including preferred mail order (2016), OTC Health supplemental benefit (2017), and a combined offer for CVS Pharmacy in the preferred network and access to pharmaceutical manufacturer and retail rebates (2018/2019). Generated approximately $1B in savings to Aetna. Strategically coordinated the introduction solutions to double enterprise dispensing from 2017 to 2019.Leveraged a Medicaid rule change for a managed retail network deal generating ~5% savings for the client. Coordinated with PBM operations and product leaders to improve services and capacity during an 18% CAGR period. Developed department budgets from market insights, sales pipelines, ops improvements, and client data. Met all performance guarantees for Medicare 2018 and received incentive payments from the plan for ops performance.Managed large cross functional teams through various projects including annual implementations, which by 2018 achieved the goal of zero cases tied to PBM set up errors by applying lessons learned during each cycle.

Woonsocket, Ri, Us

Consistently assigned to lead the highest profile client implementations for each welcome season period starting with Medicare EGWPs in 2012, NYSHIP in 2013, ACA Integrated Benefits in 2014, and the Aetna/Coventry implementation for 2015. Stayed within the established budget and controlled department staffing while supporting significant new business growth. Established enterprise standards for client installs with project plans, weekly performance reviews, and executive oversight reports. Recommended, defined requirements, and implemented the organization wide workflow management tool that simplified the installation process and created awareness of task completion across all departments involved. Lead the organization’s implementation of 36 EGWPs in one season which doubled the total SSI EGWP market segment. Managed a department of over 60 employees responsible for over 400 client projects in a calendar year.Provided internal and client C-Suites with daily updates on key client installations including mitigation plans for risks.

Us

Created the Medicare Services Division during an era of significant regulatory changes and federal oversight. Responsible for the department P&L including client services, compliance, and operations. Negotiated agreements with vendors to improve costs and performance while meeting budget expectations during a period of significant growth. Defined department goals.Guided the enterprise through the retention of several at-risk critical accounts by delivering compliance and operational performance improvements, negotiating service level commitments, and interceding with CMS contacts on audits.Implemented the retiree benefits program to reduce costs for existing employer clients and improve margin by $3M.Executed the corporate integration objectives as part of the FutureScripts and the Walgreens Acquisition Teams.Led a team of business process owners and consultants through an 8-week migration of the entire Medicare client base to a new claim processing platform including all business processes for finance, IT, operations, and client services.

Woonsocket, Ri, Us

Managed a team of Strategic Account Executives responsible for the retention and growth of regional and nationwide health plan accounts generating $5B in sales annually. Recruited sales executives and facilitated skills development through a combination of experiences and training. Defined team goals and individual development plans. Strengthened relationships with client decision makers by managing engagements between CVS Health and clients’ C-Suite.Renewed two high risk accounts through strategic executive engagements and development of solutions for mutually beneficial strategic growth.Collaborated with Benefit Operations and Medicare Services leadership on strategic roadmap for service improvements.Presented innovative solutions to existing clients leading to margin improvements of over $200M annually.

Woonsocket, Ri, Us

Managed the contractual and decision maker relationships for Coventry which generated revenues of $3B annually. Guided the organization through implementation of operational and strategic program enhancements across all lines of business including Individual, ASO, Medicaid, Medicare, and Workers Compensation. Consulted client, sales leadership, and operational units on regulatory requirements, annual business plans, benefit solutions, and clinical program management. Negotiated pricing agreements and guided implementation for use of Caremark Pharmacy Network.Increased revenue on work comp plans by 87% in 2008 by improving RFP responses and onboarding process.Managed start of Medicare Part D - new services, rapid process improvement, and performance guarantee ownership. Client survey responses improved year over year and revenue expectations (initially over $2B) were exceeded.

Us

Began as a Client Advocate. Managed daily operational and contractual deliverables of large accounts across multiple segments. Maintained client operating procedures, implemented benefit changes and communicated client updates to service departments. Closed over 90% of items on issue logs, reduced PGs and SWs by over 50%, and improved client satisfaction scoresPromoted to Account Specialist in April of 2000. Supervised a team of client advocates. Presented operational and service warranty performance to management. Developed operating priorities with clients. Reviewed plan performance quarterly. Implemented project plans and timelines to meet client expectations and achieved the highest client satisfaction ratings. Saved the business over $2M by reviewing audits and service warranties and implementing improvements.Verified the continuity of client reporting as a member of the ReSync/HIPAA release team.Promoted to Manager of Account Management in March of 2004. Managed a large account management team across market segments with a portfolio of $2.6B in revenue. Directed client satisfaction improvement programs. Continuously improved operational efficiency while expanding covered services. Achieved company integration objectives for Account Management.Increased employee satisfaction and retention by implementing recognition program and organizing team building eventsDesigned career development plans and requisitioned training courses to accelerate employee developmentAchieved overall client satisfaction ratings of "very good" or better across all books of business

Started out as a Call Center Representative and was promoted to Lead by July 1997. Guided representatives in the resolution of escalated customer service issues. Assisted with training. Identified member experience deficiencies and improved processes. Delivered the first interdepartmental issue tracking database which improved trend identification and operating priorities.

Lufkin, Tx, Us

Managed prescription requests and product purchases. Supervised and controlled stock levels. Coordinated pharmacy software updates and training of local staff. Built professional relationships with customers resulting in repeat business.

Master Of Business Administration

Bachelor Of Science In Business Management

Associate Of Arts And Sciences - Aas