Lori Eidson Email & Phone Number

Trevor, Wi, Us

Lake County, Illinois, United States

Lake County, Illinois, United States

Manage the strategy and adherence of compliance related activities for US Commercial Pricing Team while collaborating with the OEC and Legal team. Facilitate acute care contract language negotiations based on communications with the customer and coordinate execution of final contracts within the guidelines of AbbVie’s policies and procedures.Core team member of Anesthesia Integrated Brand Team at AbbVie; working to drive volume and performance.

Leading a pricing compliance initiative to strengthen the compliance focus to ensure any potential guidance gaps are identified and remedied. Developed quarterly compliance executive dashboards outlining potential key risk areas to be reviewed by Executive Leadership, OEC and Legal.Manage the strategy, design and development of compliance monitoring and training for the US Commercial Pricing Team.Lead senior level cross-functional team with Managed Healthcare, Legal and OEC to highlight potential risks.

Responsible for forecasting Medicaid, Managed Medicaid, Supplemental, SPAP, and ADAP rates for Plan, Update, LRP and providing key variance commentary.Proactively create reports for the area such as the rebate rate & rebate unit utilization report for Monthly Actuals vs LBE as well as monthly Public Payer Balance Sheet Reserve Package while leading meetings to review results, provide commentary, and recommend changes to managementResponsible for key reporting in relation to State Supplemental Models, Healthcare Reform Models, and Branded Prescription Drug Fee Models as well as providing key enhancements and efficiencies to these reports to achieve more accurate modelingPrepare Public Payer Quarterly Dashboard reports while leading & communicating results to upper management and peers on a quarterly basis through quarterly reviews

Responsible for the process and review of calculations for Medicaid (Average Manufacturer Price, Best Price, Rebate Calculations) and Public Health Service pricing.Manage activities related to the Public Health Service member eligibility.Support adhoc request and analysis of various forecast scenarios on Medicaid prices. (i.e. Best Price financial analysis)Assist various projects related to government system upgrades and/or enhancements.Maintain procedural documentation as required by changes in legislation and business practices.Direct supervision of employees.

North Chicago, Il

Assist and/or lead various projects related to government system upgrades and/or enhancements.Lead Role in regards to projects involving company separation/spin-off initiatives, product acquisitions and/or product divestitures.Provide analytical support to the team relative to impact analyses, such as Best Price, PHS, and Medicaid impacts.Supported Model N Regulatory Implementation from a data perspective. Ensuring data, formula and calculation accuracy within multiple price types.Assist in the balancing of resource needs amongst the rest of the Public Payer Pricing Team in regards to government price type calculations, Medicaid processing and the State and Federal Contracting.Recently supervised Medicaid Team with payments annually over $550MM. Drafted SOP for the team in relation to Medicaid Claims processing and adherence to internal SOX requirements.

Lake County Il

Abbott Park Il

Monitored/audited calculations and processes for quarterly calculations that are utilized in providing Average Manufacturer Price and Best Price for Government Reporting. Implemented a robust data integrity program in 2009.Processed Tricare and VARR program payments for the Federal Government.Responsible for coordinating all monthly data tie outs from source to system; as well as General Ledger validation to source system, to ensure accuracy within the Government Calculations.Key contributor to Commercial Implementation of Model N Enterprise System.Participant in the Phase 0 and Proof of Concept for Govt Regulatory module of Model N. During the implementation portion of the project direct focus on accuracy of Calculation templates for government price types to be utilized in Design Specification for the system.

Responsible for Analysis of Federal Medicaid Payments. Collaborated with states to research invoice and payment issues and resolve open disputes.Recovered $5.1 MM, yielding in net profit of $3.9MM for Abbott resulting from an audit of PHS entities embedded within Medicaid Claims submitted from the State of California.Key individual with the migration of the aquisition of KOS Pharmaceuticals.

Responsible for wholesaler chargeback payment and deduction process for McKesson Drug Corporation, one of Abbott’s top 3 wholesalers.Successfully integrated the Hospital Products into the Pharmaceutical Product Divisions Contracting and Pricing systems. Worked with wholesalers to successfully set up electronic submission process for this integration.Responsible for the administration, calculation and payment of rebates related to Retail and Chain Pharmacy contracts.