Kyle Imhulse Email & Phone Number

Building and managing partnerships on behalf of Kroger Health by executing pharmacy agreements and contracts across various lines of business for multiple pharmacy settings.

Responsible for managing all key aspects of Biologics payer contract portfolio, with a focus on Medicare Part D networks.

Columbus, Ohio, United States

Development of provider networks for Medicare, Medicaid, Exchange and other Commercial lines of business. Managing relationships with key Magellan clients as related to contracting, credentialing, and provider communications.

Columbus, Ohio Area

Manage and build relationships with numerous PBMs, including our top 5 largest payers, by being the first point of contact for contract related inquires, as well as assist with claim adjudication, reimbursement, pharmacy compliance, and general pharmacy related business inquires. I review and redline contract solicitations from PBMs on behalf of our entire network, and individual pharmacies to obtain access to the networks that provide access to more patients and offer additional financial opportunities. I assist the PBM Relations managers in contract reviews by conducting business and profit analysis of various contract offers. I'm the escalated contact for internal and external teams for general PBM specific information. I audit, develop, and manage multiple internal databases used by multiple departments. I create tools and resources for internal teams and our pharmacy clients so that they can be better prepared for the constantly changing pharmacy industry.

New Albany, Ohio

I worked with the Pharmacy Benefit Managers (PBMs) to solve adjudication issues that our pharmacies are having. I communicate directly with the pharmacies to develop their individualized remittance data subscriptions. Assist with reconciliation issues, as well as maintain relationships between AccessHealth and several reconciliation companies.

New Albany, Ohio

Provided customer service to a large and diverse number of customers via email, fax, and phone. I assisted customers with adjudications, credentialing, reimbursement, and general business difficulties.

Wilmington, Oh

Worked in the warehouse located at the new headquarters in Wilmington, Ohio. Maintaining inventory, the warehouse, and completing proper paperwork to add, remove, and transfer inventory. Helped assist in preparation for a federal audit, as well as work with the Safety Department to compile documents, as well as make sure our documents met the requirements of the FAA.

Wilmington, Ohio

Responsible for transition and organization of human resource files from one location to new headquarters. I've spent time learning in the roles of different HR positions, as well as how specific tasks should be completed.

Lima, Ohio Area

As an Aflac Intern, I worked as an Insurance/Benefits Consultant. I performed B2B sales daily. I was constantly prospecting, and working to bring small to medium sized companies more cost efficient insurance plans.

Master'S Degree, Healthcare Administration

Activities and Societies: Presidents List ('24) Deans List ('23_I am currently working on obtaining my MHA, and will be completing this.

Bachelor, Business Administration; Pharmaceutical Business

Activities and Societies: Sigma Phi Epsilon

Education record