Chris J. Turoff Email & Phone Number

Columbus, Ohio Area

✭ ✭ Joined this not-for-profit Medicare Advantage plan as their first pharmacist and pharmacy director, and leveraged past PBM experience to drive the efficient and effective operation of the health plan—with $125M+ annual drug spend—for its 50K+ members. ✭ ✭■ Deployed a Therapeutic Intervention Program—increasing generic dispensing rate to 91.5% and decreasing drug spend by $5M over 2 years—and engaged physicians to migrate patients to a more affordable drug option, playing an instrumental role in the ability to mitigate a significant increase in specialty drug costs and maintain flat ratios.■ Engaged with the Mount Carmel leadership team during quarterly strategy setting, vision planning, yearly CMS Bid process, and hindsight analysis meetings, working cross-functionally to support diverse stakeholders from Compliance, Marketing, Communications, Member Services, Sales, Finance, Fraud Waste and Abuse, and Quality Departments.■ Applied expertise to negotiate a highly competitive 3-year PBM renewal contract, optimizing KPIs including Average Wholesale Price (AWP) discounts, Maximum Allowable Cost (MAC) pricing, delegated service fees, and rebates. Nurtured a high-value relationship while also capturing a 70% increase in rebates and $50M+ in plan savings.■ Made the decision to divest Medication Therapy Management Program to a new partner—increasing Star rating to a 4 and 5 across 2 plans for 2019—and better aligning business goals with medical program strategies. Elevated ratings by also increasing medication adherence, eliminating therapeutic gaps, and earning a Part D rating of 4 of higher.■ Served as an early adopter of Part D opioid overutilization initiatives, not only implementing 2019 requirements, but also educating members and prescribers and prompting DUR and UM edits as well as retrospective reviews.■ Passed all Part D CMS audits with zero findings and observations, ensuring on-time submission of data to CMS.

Columbus, Ohio Area

✭ ✭ Received the 2015 President’s Award as a measure of post-acquisition success following the transition to Express Scripts, directing the specialty sales process for Southwest, Midwest, and West territories with $5M+ in new business in 2014. ✭ ✭■ Achieved 99% account retention rate, 143% of net sales target, and 141% of Medical Channel Management lives enrolled goal—following the acquisition of Medco Health Solutions by Express Scripts—driving specialty solutions to assist clients in mitigating specialty trends, improving clinical efficiencies, and providing optimal health outcomes.■ Partnered with account and physician sales teams to develop a disciplined approach to growing specialty line of business, targeting net new lives, prescriptions, profitability, upsell opportunities, and strategic renewal business.■ Overcame initial resistance to change and client “noise”, in part by delivering presentations with confidence, earning credibility, building rapport, and sustaining long-term relationships through account-centered actions.

Columbus, Ohio Area

✭ ✭ Recruited to join the account management team—based on proven record in client, patient, and physician service—leading the management of large health plans including Blue Cross Blue Shield North Carolina and Coventry Health Care. ✭ ✭■ Championed efforts to manage Blue Cross Blue Shield North Carolina with 2M lives and $2.5B in revenue. Transitioned next to onboard the Coventry Health Care account—4.9M lives and $6B in revenue—encompassing 23 regional commercial health plans, 9 Managed Medicaid states, and national Medicare Part D and Workers’ Compensation plans.■ Partnered with clients to navigate Healthcare Reform requirements and regulations, NCQA accreditation, request for proposal (RFP) processes, Best and Finals, clinical audits, and other issues requiring expert triaging skills.■ Designated Specialty SME for major health plan accounts—Coventry Health Care—and proved pivotal during the implementation of a complex, custom special project for the processing of specialty medical claims on the pharmacy POS.■ Received two Medco Health Solutions President’s Awards—2010 and 2011—for efforts and outcomes on the Coventry account, playing an integral in the management, servicing, and growth of this key account.

Columbus, Ohio Area

✭ ✭ Transitioned to a new spinoff of Merck-Medco—Medco Health Solutions—to direct the Managed Care team and a new Physician Service Center, leading a team of 6 direct and 100+ indirect reports. ✭ ✭■ Improved Managed Care KPIs including call handling, cost per transaction, and financial performance—beat the aggressive $18M operating budget by 3.2%—through program, quality, and compliance leadership.■ Supported talent acquisition and development, not only recruiting new licensed pharmacists, but reinforcing culture shaping through training, serving as a preceptor, and acting as a liaison for specialty pharmacy initiatives.

Columbus, Ohio Area

✭ ✭ Promoted within first six months with Merck-Medco, supervising the Customer Service Pharmacy Department, monitoring KPIs, resolving escalations, and ensuring delivery of exceptional patient service and support. ✭ ✭■ Fueled the implementation of new processes, procedures, and systems, resulting in increased mail volume—400+ additional prescriptions each week—in addition to heightened productivity and efficiencies.

Columbus, Ohio Area

✭ ✭ Supervised a staff of six employees—in an independent pharmacy setting—performing evaluations and facilitating 1:1 coaching to maximize efforts and outcomes. ✭ ✭ \​■ Oversaw all scheduling and day-to-day management and operations of the pharmacy, including front-end responsibilities.