Commercial Pharmacy Network Strategy Director
Current- Lead 6 associates and cross-functional teams to launch and manage retail, mail, and specialty pharmacy networks and oversee pharmacy vendor relationship for Commercial, Medicare, and Medicaid members in 14 Anthem Blue.
- Analyze client preferences, evaluate state, CMS, and ACA regulations, and execute IT enhancements. Includes assessing product adoption patterns, regulatory compliance, and cross-functional operational needs and.
- Achieved over $19 million in cost savings and $31 million in incremental operating revenue by launching an optimized retail pharmacy network for 6 million Commercial members.
- Increased membership by 300,000 by enabling launch of new Individual pharmacy products in Texas, Maryland, and Florida. This achievement was facilitated by conducting a thorough cross-functional assessment of state.
- Reduced commercial client costs by $12 million through network consolidation and standardization of 14 customized networks.
- Launched retail pharmacy network product and increased enrollment from 400,000 to over 850,000 members in a 2-year period to achieve $8 million cost savings by developing market-specific business cases based on.