Co-leading creation and business startup of PBM services platform joint venture Client Services LeadershipHigh Performance Team BuildingRelationship Transformation Partnership Development

Promoted to Director April 2016

ClaimsXten (CXT) Product ImplementationProvider Electronic Funds Transfer (EFT) & Electronic RemittanceROM Estimation

Management of complex client and product implementations working with internal, client, vendor, and government teams from proposal through implementationBusiness project management for implementation of D.0 and HIPPA II standardsPublish communications to internal departments, client teams, and pharmacy partners providing clear direction for new or changed processesExperience with real-time claims processing applications from receipt of prescription claims through backend reporting and member communicationsServed as project manager and business owner during implementation of complex and strategic line of business for an existing customerLead project teams through RFP responses & cost estimation for development of client and Medicare Part D application enhancementsDevelop business and technical requirements from CMS guidance, NCPDP documentation, and client specific requestsUtilized joint application development (JAD) sessions to bring IT and business teams together for feasibility and requirement analysisDemonstrated ability to adapt & perform effectively outside of primary job functions by assisting with account management & product ownership to maintain a high level of customer satisfactionMaintain documentation and change control processes to manage project cost & negotiate a reimbursement agreement for expenditures due to project changesPresentation of project activities / results at customer locations, during open forum calls, & client forums of 75+ participantsUse of Microsoft Project Server, SharePoint web pages, & Clarity project management toolsEffectively managed projects where team members could not always be co-locatedLead continuous improvement efforts to analyze project lessons learned & suggest process improvement recommendationsRecognition from clients, peers, & Sr. Management for project accomplishmentsMentor entry level project managers by providing educational presentations for project management certification

Provided high quality and dependable results under direction of Sr. Director of Special Projects and Vice President of Operations Project management for business integration of $1.2B acquisition of Priority Healthcare resulting in the successful transition of business to core pharmacy distribution facilityProvided project management for facility consolidation including patient record transition, inventory transfer and pharmacy closure according to state and federal lawResponsible for project management of business integration for a new mail-order prescription regional distribution facilityAnalyzed project justifications including gap analysis, cost benefits analysis, and ROI data to ensure realistic goals and expectations are set and project can be successfulImplement pilot programs for new lines of business or specialty/limited distribution productsDeveloped SME level knowledge of order management system and gained ability to extract information to be used in project analysisEvaluated Express Scripts order management application and compared to CuraScript application to determine if opportunities for migration existedLead process improvement teams using rapid improvement events (RIE) to reduce processing time and demonstrate an increase in operational efficiency and accuracyCreated database application to track maintenance and inventory of high cost pharmacy equipmentPerformed project and data analysis to provide input to RFP responsesDeveloped contingency plans for transfer of fulfillment operations under direction of business continuity officeUse of Microsoft Project and SharePoint to manage project work plans

Worked with SI/Baker project manager during installation of SI/Baker Automated Pharmacy System Developed plans for handling ramp up and ongoing prescription fulfillment volume during the first year of operation where fulfillment demand increased nearly ten times Lead efforts to develop operational and system enhancements resulting in an increase in fulfillment accuracy and peak throughput exceeding system design throughput by more than 25% Responsible for providing 24/7 technical support for computer hardware, software, and conveyor equipment including PLC and pneumatic technologyPrimary point of contact between ARxHD and vendors regarding SI/Baker fulfillment system SME for fulfillment system and provided input into design of a second automated pharmacy system Provided cost-benefit analysis on new proposals (Material and process changes)Worked with operations manager to develop goals and expectations for production teamDeveloped contingency plans to minimize downtime in the event of critical system failuresUse of SQL statements to extract data for system analysisCreated database application to track performance and maintenance cycles of fulfillment equipmentKnowledgeable of front end mail order prescription management system and operation Served as backup for front end helpdesk support

Joint venture - See Aetna Rx Home Delivery experience