A key contributor in executive strategic planning sessions to ascertain future opportunities to enhance competitive market position. Review and approve contractual offers for clients and pharmacies to ensure the most beneficial outcome is observed. Participate in best-and-final meetings in which the financials of a proposal are presented to clients and consultants. - Oversee the Fraud, Waste & Abuse area involving the negotiation of fees with clients along with establishing processes to effectively identify and manage claim issues.- Monitor industry trends around drug releases, federal and state regulatory changes, and inflation to forecast financial outcomes in which opportunities can be identify to effectively manage prescription costs.- Manage the financial underwriting functions to effectively establish competitive bids pertaining to prescription costs for new and existing clientele. Participate in Best-and-Final-Offerings where the conclusive financials are negotiated.- Manage the analytical functions around client and pharmacy discount performance guarantees, MAC price management, pharmacy and drug repricing. - Identified enhanced revenue opportunities through MAC pricing, performance discounting, and rebate management that increased profits by 6% annually.

Lead various cross-function team projects that enhance the corporation’s capabilities and improve financial opportunities. Manage and report on performance of client guarantees for external audits and negotiate any settlements. Oversee three direct reports and three indirect reports.- Led team that successfully implemented a transparent, cost neutral solution addressing the rollback of AWP pricing from First DataBank. - Enhanced system capabilities to analyze data in a more timely fashion through increasing storage space and moving to a more robust analytical tool. These improvements reduced the time to complete projects by 30%.

Played vital role in executive strategic planning sessions to ascertain future opportunities to increase margins and enhance competitive market position. Provide consultative support to Sales through identification of market demands and development of potential product or service solutions at the right price point. Coordinate internal efforts to develop complex applications that simplify and enhance tracking processes to determine market impacts. Manage and report on performance of client guarantees for external audits and negotiate any settlements. Oversee three direct reports and eight indirect reports, and departmental budget in excess $3 million.- Exceeded revenue target by $33 million in first year of merger and positioned company for additional future revenue growth opportunities through streamlining of multiple claims processing systems.- Accomplished incorporation of CVS claims data into Caremark’s server within a record 1 month, which expedited the organization’s ability to perform analyses to support numerous synergy projects.- Successfully developed a competitive offering that meets Centers for Medicare & Medicaid Services (CMS) requirements to be used by organization and clientele in bidding on Med D business for 2009.

Served as key executive team member charged with participation in strategic planning to identify market and margin growth opportunities. Managed nine-person staff and department budget in excess of $2 million. Facilitated competitive bids for retail network offerings through consultative support to sales teams. Evaluated risk for company offerings using client performance and industry drug trending analysis. Tracked and assessed market impact through development of complex applications simplifying and enhancing evaluation processes.- Exceeded goal of additional $150 million revenue and enhanced systems to facilitate further growth, assessing client/provider contracts for feasibility and evaluating different platforms post-merger. Reviewed contracts, collected data, and provided recommendations to board of directors.- Instrumental in removing potential $4 million obligation through evaluation of client guarantees, creating documentation to support original intent and demonstrate proof of performance.- Mitigated potential risk by 99% within first year of implementation for guarantee measurement methodologies, application of corrective actions, and creation of appropriate contract language. Secured $30 million annual savings based on potential guarantee write-offs.

Championed competitive performance and pricing guarantees; created risk assessment and revenue generation programs. Ensured pharmacy compliance with network programs through development of enhanced tools. Oversaw implementations to facilitate transition from design through maintenance. Educated sales teams on network development/design, savings guarantees, and products.- Enrolled 99% of vendor base plus added 300 new vendors and maximized $3.5 million share of savings per renewal with key client producing $1.6 billion revenue. Developed projection analysis to adjust cost of goods sold, as well as strategy to contract lower provider discounts.- Bolstered staff qualifications and retention with creation of comprehensive career path offering growth opportunities and competitive pay.- Increased processing speed by 80% with build of $30,000 data mart representing 30% increase over expected efficiency and model for changes to existing $4 million data warehouse. Collaborated with staff to study data collection, identified requirements, and pursued internal staff training.