Eric Saul Email & Phone Number

Working as a member of the special investigations unit, using data analytics and clinical skills to identify and recover improper/overpaid claims and outright cases of fraud. Also assisting as pharmacy area subject matter expert for the team.

Supporting all clinical initiatives surrounding the Medicaid HARP population including post-discharge medication reconciliation and adherence monitoring for injectable therapies. Leading an interdepartmental project to educate providers on children who are on polypharmacy of psychotropic medications, ensuring guideline based care and connecting members to.

Albany, New York Area

• Working between teams in company to pharmacy utilization management, pharmacy care management, and HARP Behavioral Health readmittance avoidance. Working mainly with the managed Medicaid team for utilization.
• Conducted a training of the all member facing clinical staff on medication adherence with over 70 trained for the pharmacy care management team.
• Initiated care management of Medicaid and Medicare members to ensure adherence to medication
• Worked in the community to get complete medication reviews for skilled nursing facility members for the 2018 year.

Buffalo/Niagara, New York Area

• Collaborated with clinical and non-clinical professionals covering formulary issues for two Medicare plans insuring 70,000 lives. Championed compliance with CMS Medicare formulary regulations. Partnered with MagellanRx.
• Initiated program to help providers safely prescribe opioid medications to patients. Wrote process and implemented early to minimize impact to patients while keeping compliance with CMS regulations.
• Transitioned 43 drugs from being reviewed by Independent Health to MagellanRx Management. The annualized savings of these switches was estimated to be $1.5 million.
• Mitigated corporate risk by ensuring MagellanRx Management had a CMS compliant mail handling procedure. This process had caused some potential red flags.
• Wrote all Medicare compliant pharmacy prior authorization criteria for drugs for the Independent Health Medicare Individual and Group contracts for the 2018 year.
• Wrote commercial and self-funded pharmacy prior authorization policies for new drugs collaborating with internal departments as well as external vendors to make sure policies were not overly restrictive to providers.

Buffalo/Niagara, New York Area

• November 2015 to March 2016: Worked with Independent Health as a prior authorization clinical review pharmacist. Reviewed requests for Prior Authorizations of medications focusing on the Medicare requests. Worked with.
• Assisted with 2016 plan year Medicare transition period. This year had many multisource brand medications removed from the formulary.
• Educated provider offices on the formulary status of medications and offered cost-effective alternatives.From March 2016 to August 2016: Worked as Medication Therapy Management Pharmacist. Conducted on average seven.

Buffalo/Niagara, New York Area

• Directed oncology-focused pharmacy dispensing limited distribution specialty medications. Managed 5 employees ensuring prompt delivery of medications and management of adverse reactions. Implemented and serviced 5 new.
• Grew sales from $500 thousand annually to over $50 million annually during my tenure.
• Obtained pharmacist licensure in two states (Arkansas and Louisiana) to allow expansion into those states of Onco360 340B business.
• Used CPR+ computer software to drive dispensing and data analysis of sales.
• Used Therigy web-based software to drive proper screening and counseling of specialty medications.
• Created program for prevention of Hand-Foot syndrome side effects for patients starting on therapy.

Processed incoming faxed medication orders from numerous nursing homes in the area and ensured timely delivery of medications. Worked directly with long-term care nurses and providers to ensure risks of therapy were mitigated. Worked with billing department to ensure payment for medications occurred. Amongst a team of 7 pharmacists, filled roughly.

Supervising pharmacist of a pharmacy that was attached to a doctors office. In this role, Dealt directly with both patients and providers to deliver health care in a patient-centered model. Worked as liaison for local union employer group to Univera (local managed care plan) ensuring that member coverage was uniform. Supervised team of 3 pharmacists and 4.

Orchard Park, NY

Responsible for the day to day operations of a growing pharmacy.Assisted all NY state stores in keeping abreast of legal changes and assisting with any regulatory problems

Inpatient Pharmacy

Responsible for everyday staffing concerns along with the institution and management of all inpatient investigational protocolsAssisted in the development and implementation of newer chemotherapy dispensing protocols

NY State

Worked from college onwards as everything from cashier, pharmacy technician, and pharmacist. As a pharmacist floated to stores all over Buffalo, NY and Rochester, NY areas.