Melissa Wolf Email & Phone Number

Responsible for developing and maintaining the clinical content of commercial and Medicare utilization management programs in accord with CMS regulations - including PDP, MAPD, EGWPs, and enhanced benefit plans; working with cross-functional teams regarding implementation of regulatory based initiatives; CMS submissions; clinical support during phase.

- Responsible for supporting appeal level coverage determinations and presenting applicable research for select cases.- Responsible for selecting, preparing, and leading discussions involving difficult cases to set precedence.- Prepared and conducted monthly administrative meeting report details and statistics involving QA initiatives.

Responsible for precepting pharmacy students and residents on clinical rotations, didactic teaching, committee involvement, the Acute Care for the Elderly (ACE) unit patients, publications in peer-reviewed journals, and establishing a practice site and rapport with physicians, nurses, medical residents, and medical students.