Else Umbreit, Pharmd Email & Phone Number

West Des Moines, Iowa, United States

Responsible for the coordination and implementation of quality improvement initiatives, which includes researching data, developing project plans, monitoring quality improvement activities, individual case or record review, serving as a resource and providing education to team members, and providing direct technical assistance to clinicians and non-clinician healthcare personnel.

Sioux Falls, South Dakota

Provided clinical leadership and consultation within the pharmacy management department, Quality Improvement (QI) Committee, and Pharmacy and Therapeutics (P&T) Committee. Implemented in-depth utilization management policies, conducting ongoing research to confirm medical necessity criteria is up-to-date to align with current clinical guidelines. Also performed therapeutic category reviews and comparative drug reviews in conjunction with policy development. Presented policies and formulary updates to P&T Committee for formal review and approval. Monitored claims and reports for potential fraud, waste, and abuse. Conducted evaluations to solidify decisions on prior authorizations and medical necessity requests. Interacted with the ordering provider to coordinate care plans and treatment alternatives in the event that the requested medication is not covered on a member's plan.Key Contributions:• Grew the pharmacy department from a Chief Medical Officer (CMO) and a medical assistant (MA) to a team of 3 pharmacists and 6 technicians, with effective training and mentorship for staff to manage the pharmacy benefits.• Successfully enforced compliance standards for state and federal regulations while verifying quality standards were achieved to maintain NCQA accreditation.• Known as a point of contact and clinical resource for health plan initiatives involving pharmacy management. • Enhanced overall morale to maximize productivity, and improved response times to providers and members through creative process improvement initiatives.

Sioux Falls, South Dakota

Directed programs and initiatives for clinical and professional services. Collaborated with the IT department to transfer company software systems to PioneerRx. Additionally, provided comprehensive training and onsite mentorship during conversions.Key Contributions:• Recognized for maintaining policies and procedure manual to mirror state and federal laws and establish expectations for states with Lewis Pharmacies (South Dakota, Minnesota, and Iowa).

Led a qualified team of pharmacists, technicians, interns, and support staff. Controlled the budget to minimize overspending, carefully scheduling staff members, monitoring inventory levels, and eliminating waste. Administered education and professional development for staff regarding new medications, adjustments in operations, and changes in legal and regulatory standards.Key Contributions:• Successful in the supervision for one of the highest volume pharmacies in the state, including after-hours services for long-term care.• Recognized as a preceptor, engaging pharmacist interns from several regional pharmacy schools.

Became known as a knowledgeable and reliable pharmacist, adapting seamlessly to variations among staff and locations in both South Dakota and Minnesota pharmacies.

Hired as a pharmacy technician but quickly earned recognition for determination and work ethic, transitioning into a pharmacy intern position. Onboarded as an intern for the four years of the professional pharmacy program.

Doctor Of Pharmacy - Pharmd

Bachelor Of Science - Bs, Pharmaceutical Sciences

Bachelor Of Arts - Ba, Chemistry Major, Biology Minor