Nicholas D'Ambrose Email & Phone Number

Bloomington, Mn

Lead the team responsible for the development and implementation of specialty pharmacy networks. Work with our clients to ensure these networks are high performing and meet their needs.

Assisted in the development of specialty network strategy. Supported the collaborative effort between the Enterprise Specialty and Network Management teams.

Developed and re-launched a product targeting specialty drug reimbursement under the medical benefit. Helped develop tools to analyze provider mix, pricing, and gaps. With these tools, Prime was able to make recommendations to our clients on network design and cost savings opportunities.

Managed a team responsible for contracting, contract implementation, and contract administration. Assisted in the development of best in class contracting practices and implemented new processes to help streamline the contracting experience from beginning to end.Assisted in the development and implementation of a nursing sub contracting strategy to ensure home infusion coverage nationally.

Working to develop a short term and long term strategy to reimburse Home Infusion and Specialty Pharmacy providers using the NDC methodology. Manage relationships with national Home Infusion and Specialty Pharmacy providers.

Work with the Medicare line of business, watching government and industry trends and planning future strategy. Manage national vendor relationships.

Negotiated contracts to bring hospitals, medical groups and physicians into the UnitedHealthcare network. Managed the relationships of multiple tier one accounts.

Assisted in the negotiation of contracts to bring physicians and medical groups into the UnitedHealthcare network. Managed multiple tier two and tier three accounts.

Bs, International Business And Finance

Education record