As a Clinical Director in Specialty Product, I am responsible for bringing clarity and assurance around Medical Specialty to CVS Health clients and prospects. I work directly with Novologix; an innovative IT solution within CVS Specialty focused on medical benefit management. My daily responsibilities include working closely with internal business partners such as product development, account management, quality assurance, implementation, contracting, and sales to name a few. I work with existing clients on strategies to manage Medical Specialty as well as with prospects that are looking to learn more about CVS Health solutions. In my discussions, I bring clinical and business expertise to the table to help drive strategies that ultimately benefit not only plan sponsors, but also the members they serve. My responsibilities have included leading a team of product managers and account analysts responsible for securing the achievement of clients' goals and objectives while ensuring overall alignment with enterprise strategy. My responsibilities evolved into driving top line growth of utilization management technologies via product ideation, development, and adoption. I am responsible for the development and support of client focused business strategy while also promoting organic growth through coordination with internal and external sales teams. I also serve as a business leader for internal and external key stakeholders. In additional to my role with Specialty Product, I also serve as a pharmacy preceptor for the CVS Health Specialty Innovation Residency Program. I host a 4 week rotation focusing on Utilization Management and innovative product development.

As an Executive Advisor with the CVS/Caremark Industry Relations team, I am responsible for advising assigned custom formulary health plan clients on low nest cost formulary strategy. Part of this responsibility is working with custom rebate models to express value on selected strategies. With the help of internal partners, I bring forth solutions and recommendations to maximize financial performance of a client’s formulary or formularies. I am responsible for understanding, reviewing, and interpreting rebate agreements in order to adequately deliver custom formulary solutions to my assigned clients. I anticipate benefit design evolution while determining potential impact on existing formulary strategy. Advice is not only channeled directly to clients, but also through strategic account teams within CVS/Caremark. In between client discussions I serve as a resource for internal and external stakeholders. I present to executive leadership within client organizations on a regular basis. During these discussions I am expected to serve as the Subject Matter Expert on rebate performance and rebate agreement intriqucies. Furthermore, I am responsible for understanding how client specific strategies could have either a positive or negative impact to overall rebate performance.

As the Pharmacy Business Segment Strategy Manager, I am responsible for ensuring Medica's pharmacy benefits are cost effective, accurate, and efficient; as well as compliant with NCQA, HEDIS, State (DHS, MDH, & DOC) and Federal (CMS) regulations. I oversee clinical pharmacy operations and strategy associated with Medica's Commercial, Individual, State Public Programs (Medicaid), and Medicare Part D lines of business. My responsibilities also include vendor delegation oversight; managed through close collaboration with Account Management teams. As part of the Medica Pharmacy Leadership Team, I frequently interact with executives and business leaders throughout the organization consulting on a variety of clinical topics. My day to day responsibilities include product design, business case development, trend analytics, consulting, issue resolution, account management and formulary design. I act as the primary liaison between Medica's business segments and the Pharmacy Department. Strengths and associated interests include pharmacy consulting, complex strategy design, managed care sales, and business development.Key experiences include On/Off Exchange drug template submission, RFP support, client consultation, Part D BID support, contract management, negotiation, Medicaid formulary design and compliance, and leadership.

As a Clinical Program Manager, I am responsible for a variety of elements supporting Medica's pharmacy benefit. My general responsibilities include prior authorization case review (within both the medical and pharmacy benefits), presentations to the Medica Pharmacy and Therapeutics Committee (P & T), drug evaluation, medication request guideline development, benefit coding submissions, custom specialty pharmacy network management and administration, project management, problem resolution, clinical program innovation, and general pharmacy support for internal and external customers. In addition to my general roles, I am also responsible for the management of the Medication Therapy Management benefit for our Medicare Part D and pilot program memberships. While in this role, I have gained experience in contracting, project managment, request for proposal (RFP) submission and evaluation, and non-disclosure agreements (NDA).

As a Walgreens Pharmacy Manager, I was responsible for the business and regulatory operations of a community pharmacy. My managerial responsibilities included staff development and oversight, inventory control, profit and loss margin control, problem resolution, marketing and promotion, and regulatory compliance. My pharmacist responsibilities included the dispensing of pharmaceuticals, counseling of patients, immunizations, and third party billing. I also had the opportunity to manage the startup of a new location. I acquired skills in organization, management, marketing, and community involvement during this startup. The management of the startup also gave me experience in the buyout (integration) of prescription profiles from a competing pharmacy.