Noel Thomas Email & Phone Number

Missouri City, Tx, Us

Eden Prairie , Mn, Us

Us

Field clinical liaison responsible for managing customer relationships Supports multiple business types including private, public and government employers.Review pharmacy & medical data, develop understanding of top disease states & drugs driving cost, assess customer needs, identify actionable trends and discuss strategies to manage total cost of care.Establish achievable clinical program goals and present KPIs on a quarterly/bi-annual/annual basis.Participate in strategy discussions and develop utilization management guidelines for custom formulariesKeep customers up-to-date on industry trends, clinical practice guidelines changes and new drug pipeline management strategies via in-person and/or virtual presentations. Review and negotiate contractual deliverables during client renewals. Identify solutions to non-standard requests.Clinically research information and provide timely feedback for drug information requests.Lead discussions with KOLs on clinical evidence and health economic outcomes to support business decisions.Collaborate with sales team on new business opportunities and deliver finalist presentations. Participate in business strategy discussions, identify growth opportunities and execute on strategic priorities. Responsible for providing support to 26 Pharmacy Account Executives, 250+ Medical Account Executives, three Senior Directors, one Vice President, and various internal operational partners. Lead cross-functional teams and oversee pharmacy projects from inception to completion.Collaborate with product team to craft value propositions and help develop B2B/B2C marketing materials.Coach, provide feedback and act as a resource for others.Work with various partners form drug intelligence, P&T, formulary strategy, industry relations, utilization management and benefits coding team to address pharmacy service needs.

Us

San Antonio, Tx, Us

Achieved a 4.5-star rating by meeting set targets for HEDIS, NCQA, PQA quality measures such as comprehensive medical reviews, gaps in care closures, generic substitution rates, high risk medication prescribing, medication adherence. Established and maintained strong relationships with physician groups in the designated market by engaging regularly and providing education on the various quality measures.Analyzed health plan data to determine overall market and individual physician group performance, present to internal leadership and developed strategies to improve alignment between healthcare providers and payer.Functioned as subject matter expert and main point of contact for business segment liaisons and physician leaders.Provided telephonic Medication Therapy Management (MTM) for health-plan patient population with low medication adherence. Collaborated with the IT department to develop clinical dashboards and performed quality checks on updates made to pharmacy reports.

Prepared patient profiles, interpreted & reviewed medication orders for errors and clinical concerns to ensure therapies were safe and appropriate for each patient. Communicated effectively with health care providers to address medication related inquiries and clinical concerns identified.

Norwalk, Connecticut, Us

Performed Prior Authorization and Appeals reviews for Medicare Part D beneficiaries utilizing CMS and clinical practice guidelines in a call center environment. Educated healthcare providers and plan members about formulary medications, coverage requirements, and potential lower cost alternatives based on patients’ insurance plans.Provided support for internal team member inquires, quality analysis on completed cases and training for new hires

Woonsocket, Rhode Island, Us

Oversaw the daily activities of a team of five pharmacy technicians and customer service associates filling an average of 1,400 prescriptions each week. Dispensed drugs according to physician orders, performing comprehensive reviews to ensure appropriate medications were dispensed in the correct dosage to the correct person. Counseled patients about management of acute and chronic diseases discussing information gathered with health care providers to guide treatment based on clinical practice guidelines.

Doctor Of Pharmacy - Pharmd, Pharmacy

Doctor Of Pharmacy (Pharmd), Pharmacy

Pre-Pharmacy Studies