Michael Wan

Michael Wan Email and Phone Number

Clinical Pharmacist at LA Care Health Plan, Entrepreneur, Investor, Amateur Surfer @ LA Care Provider
Laguna Beach, CA, US
Michael Wan's Location
Laguna Beach, California, United States, United States
Michael Wan's Contact Details
About Michael Wan

5+ quality years of experience in managed care with local initiatives and pharmacy benefit managers. Enhanced and developed multiple programs and solutions in Medicare, Medicaid, and commercial lines of business. Improved Medicare Star rating scores for local health plan and earned bonus payments for increased YOY performance. Jumpstarted and fine-tuned Medicaid prescription drug programs and procedures in multiple states across the US. Cumulatively, these experiences have provided roundedness in medication therapy management, project development and design, drug utilization reviews, appeals and grievances, prior authorizations and high dollar claims, prescription drug program design, regulatory compliance efforts, specialty pharmacy and rare disease therapeutics, formulary management, and cost-containment strategies.Fun facts:- Rescued someone from drowning last year- Took lessons with Tiger Woods’ coach- Went cave diving on one breath- Lived next-door to a celebrity- Hiked Stairway to Heaven

Michael Wan's Current Company Details
LA Care Provider

La Care Provider

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Clinical Pharmacist at LA Care Health Plan, Entrepreneur, Investor, Amateur Surfer
Laguna Beach, CA, US
Employees:
209
Michael Wan Work Experience Details
  • La Care Provider
    La Care Provider
    Laguna Beach, Ca, Us
  • La Care Provider
    Clinical Pharmacist
    La Care Provider Nov 2022 - Present
    Demonstrated proficiency in multi-tasking and ability to resolve ambiguous and unexpected operational items within daily workflow. Improved and designed projects, processes, and procedures to enhance Medicare Star ratings and development of quality and performance measures. Cross-collaborated across highly-matrixed environment with various health care professionals and care team personnel, legal and regulatory representatives, as well as key opinion leaders. Implemented logic within operating systems and internal tools which accurately met business needs and intent. Established proven communication, interpersonal and collaboration skills.
  • Houter Holdings, Llc
    Chief Operating Officer, Co-Founder
    Houter Holdings, Llc Dec 2016 - Present
    Offering MTM and long-term care consulting services such as comprehensive reviews of pharmacological treatment. Involved in oversight of management and policy of wholly-owned subsidiaries as well as optimizing performance and prospects of those subsidiaries on an on-going basis. Additionally, I consult on an array of asset classes and aid in providing investment strategies elucidating the multitude of ways to invest outside of conventional wealth management tactics in a way thats tailored for the individual client.
  • Normandy Pharmacy
    Pharmacist
    Normandy Pharmacy Oct 2018 - Present
    Streamlined pharmacy workflow, retuned pharmacy cost-saving strategies, maintained pharmacy regulatory compliance. Investigated and resolved issues related to patient care. Engaged in counseling patients, consulting with healthcare providers on drug therapy, inventory management, administering immunizations, and leading the pharmacy team in day-to-day operations. Trained new and returning pharmacists and technicians. Advised on new procedures to ensure accuracy and timeliness of continuing care.
  • Aetna, A Cvs Health Company
    Clinical Pharmacist
    Aetna, A Cvs Health Company Jun 2022 - Nov 2022
    Hartford, Connecticut, Us
    Conducted utilization management reviews to assess medical necessity and medication appropriateness. Interacted with prescribers and insurance providers to clarify or obtain additional clinical information. Reviewed and interpreted clinical guidelines and formularies to determine medication coverage. Educated and provided support to patients, prescribers, and care staff regarding medication coverage and reimbursement issues. Participated in quality improvement initiatives to enhance the prior authorization and appeals process to improve patient outcomes and healthcare cost-reduction. Navigated complex insurance policies and regulations to advocate for beneficiaries. Handled high-dollar, specialty, DUR, Medicare, opioid overutilization, and tier-cost reviews. Developed strong analytical, communication, and problem-solving skills, as well as the ability to work with a diverse range of stakeholders to ensure patients are meeting their medical needs.
  • Unitedhealth Group
    Clinical Pharmacist
    Unitedhealth Group Aug 2019 - Jun 2022
    Us
    Led and educated a team of pharmacists in the utilization management and authorization review process. Appointed subject matter expert for pharmacy back-end coding, claims analysis, policy and procedures, and job aid development. Ensured proper coverage and efficacy of medications. Collaborated with health care professionals across the care matrix to optimize patient outcomes. Prior experience with Medicare, Medicaid, and commercial lines of business. Performed DUR, claim dollar, opioid risk/MED, compounding and specialty drug reviews. Spearheaded the launch and adaptation of drug benefits programs, criteria, and procedural documents for various state-specific Medicaid programs. Experience includes specialty pharmacy and rare disease therapeutics, high dollar reviews, and opioid overutilization management.
  • Community Pharmacy, Inc.
    Pharmacist
    Community Pharmacy, Inc. Oct 2018 - Dec 2021
    Portland, Oregon, Us
    Engaged in counseling patients, consulting with other healthcare providers on current drug therapy, managing inventory, administering immunizations, and leading the pharmacy team. Exhibited comprehensive, patient-specific pharmacy services and care. Introduced new methods of increasing sales margins and revamping the sales floor layout.
  • Cvs Health
    Pharmacy Team Leader
    Cvs Health Aug 2017 - Oct 2018
    Woonsocket, Ri, Us
    Responsible for all aspects of pharmacy business for a settlement store, including profit and loss, inventory management, staffing and team management, exceptional customer services, and offering quality patient care. Accomplishments include: - Successfully led quarterly board of pharmacy visits- Built a culture of strong operations and compliance - Led the group (57 stores) in guest service - Served as a district trainer for new in role pharmacists, interns, and technicians.- Recognized as a top performer by the district
  • Veterans Affairs Hospital
    Pharmacy Intern - Immunology
    Veterans Affairs Hospital May 2016 - Aug 2016
    Washington, Dc, Us
    Collaborated amongst clinicians and various healthcare personnel to ensure proper care and enhance clinical outcomes. Spearheaded QI/QA initiatives to identify proper and improper management of prophylactic and maintenance therapies in immunocompromised patients.
  • Smart Pharmacy
    Pharmacy Intern
    Smart Pharmacy Jan 2014 - Jul 2015
    Provided patient consultations, verified new prescriptions for outpatient care. Entrusted with responsibility of managing perpetual inventory for narcotics and aided in prescription clarification process.
  • Pepperidge Farm
    Sales Distribution
    Pepperidge Farm Jun 2004 - Aug 2013
    Norwalk, Connecticut, Us
    Designed ways to streamline operations in the supply chain. Merchandised products for clients through building effective working relationships, maintaining live inventory counts, processing of receivables and payables, as well as updating and executing marketing and product placement strategies.

Michael Wan Skills

Consulting Pharmacy Practice Medication Therapy Management Event Planning Public Speaking Leadership Entrepreneurship Infectious Diseases Pharmacy Based Immunization Immune Therapy

Michael Wan Education Details

  • University Of The Pacific
    University Of The Pacific
    Pharmacy
  • University Of The Pacific - Eberhardt School Of Business
    University Of The Pacific - Eberhardt School Of Business
    Strategic Management
  • Army And Navy Academy
    Army And Navy Academy
    Rotc Hscp

Frequently Asked Questions about Michael Wan

What company does Michael Wan work for?

Michael Wan works for La Care Provider

What is Michael Wan's role at the current company?

Michael Wan's current role is Clinical Pharmacist at LA Care Health Plan, Entrepreneur, Investor, Amateur Surfer.

What is Michael Wan's email address?

Michael Wan's email address is mi****@****uhc.com

What schools did Michael Wan attend?

Michael Wan attended University Of The Pacific, University Of The Pacific - Eberhardt School Of Business, Army And Navy Academy.

What skills is Michael Wan known for?

Michael Wan has skills like Consulting, Pharmacy Practice, Medication Therapy Management, Event Planning, Public Speaking, Leadership, Entrepreneurship, Infectious Diseases, Pharmacy Based Immunization, Immune Therapy.

Who are Michael Wan's colleagues?

Michael Wan's colleagues are Germaine Ayers, Manoj Santush, Alla Chernov, Elizabeth Gervacio, Dajona Mcafee, Josephine Mcfadden, Alex Jalali.

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