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Health Outcomes Research and Managed Markets Executive integrating clinical expertise with business acumen to maximize cost effectiveness, affordability and personalized medicine for chronic and rare disease products.My focus is to secure optimal access for healthcare providers and the patients they serve. I leverage my clinical expertise and business acumen to generate dialog between population health and/or managed care decision makers and Biotech Pharma to improve product utilization, close real-world evidence (RWE) gaps, and demonstrate product value to the health system or health plan customer.Paving the way with my health economic and outcomes research (HEOR) expertise, I forge strong collaborative research partnerships to demonstrate the value of the product from a real-world evidence generation perspective to augment randomized clinical trial (RCT) studies utilizing linked claims databases to EHRs, Labs, and/or Genetic tests.
Critical Intelligence Consutling
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Critical Intelligence ConsutlingFlorida, United States
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Director Of Health Economics And Outcomes Research And AccessBiogen Jan 2022 - Oct 2023Cambridge, Ma, UsInternal HEOR team lead for the Neuromuscular Disease (NMD) and Alzheimer’s Disease (AD) therapeutic areas. Responsible for cross-functional medical and HEOR communication & resources for the field HEOR Medical Account Director team. Develop, execute, and lead Health Outcomes and Economic Research for Spinal Muscular Atrophy (SMA) and Amyotrophic Lateral Sclerosis (ALS). -
Senior Director Managed Care Health OutcomesCsl Vifor Mar 2016 - Jan 2022St. Gallen, Switzerland, ChDevelop, execute, and lead partnered Managed Care Health Outcomes Research. Provide clinical and health economic formulary support for the managed markets team to the payers. Plan and execute managed care advisory boards with Medical Affairs team. Partner with the internal HEOR team on health outcomes research and pharmacoeconomic modeling, research & publication. Team Lead for three HEOR projects: electronic decision support study (prospective), PROs survey, and CER study. -
Medical Science Director, Mm EastRelypsa, Inc., A Vifor Pharma Co Sep 2015 - Mar 2016Served as liaison and field-based scientific interface, collaborating with senior leadership teams to develop and execute strategic plans to engage key stakeholders and expand future business development pipelines across provider and payer communities. Aligned activities with the Managed Market team to provide formulary support for product launch late 2015. Developed extensive knowledge in the hyperkalemia treatment landscape, specifically in CKD and heart failure patients. -
Corporate Account DirectorSunovion Pharmaceuticals Inc. Jan 2008 - Sep 2015Marlborough, Ma, UsSecured formulary access across managed care markets: Medicaid, Medicare Parts B and D, PBMs, and national payer accounts representing $120M annually. National Account responsibilities include Humana, CIGNA, Wellcare, and Medicaid PBAs. Delivered quarterly team meetings to share market intelligence and key contributor to quarterly Medicaid forecasting across the portfolio. Awarded 2010 President’s Circle of Excellence. * Developed and maintained comprehensive Medicaid database including formulary status, rebates, P&T schedule, and contract terms.* Member of executive team to champion use of Gemini Health Outcomes Benchmarks to help managed markets teams and external customers compare health outcomes and costs with national averages. -
Account Director - Florida And Puerto RicoSunovion Pharmaceuticals Inc. Jan 2006 - Jan 2008Marlborough, Ma, UsRecruited to support Regional Account Directors as a regional pull through strategist serving $66M annual accounts across MCO, Medicare, Medicaid, and healthcare business channels for Florida and Puerto Rico. Served as team lead for 4-person clinical expertise team tasked with presenting economic and clinical data for new products, disease states, and emerging business channels.* Spearheaded the development of a financial portfolio summary by state, representing a “first of its kind” data summary and perspective for the company.* Provided clinical training and support for new product launches. Trained account managers to deliver key messaging on disease state, burden of illness, and cost of healthcare. -
Strategic Business AnalystTap Pharmaceutical Products Inc. Jan 2003 - Jan 2006Leveraged analytical horsepower to support account directors and $120M+ regional accounts by presenting financial and health economics data. Provided detailed metrics and budget impact models that explored the economic viability of tapping new business channels. Developed reporting tools for specialty salesforce and key decision makers to track sales performance and execute sales initiatives.* Established strategic business plans for major regional accounts. * Gained valuable “whole picture” perspective on the value of individual contributions to bottom line revenue, and developed a career-guiding perspective on time and resource management that maximizes profitability and efficiency.
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Academic Account Executive & Health Science ExecutiveTap Pharmaceutical Products Inc. Jan 1999 - Jan 2003Recruited as member of 4-person team of pharmacists to launch pilot project that engaged healthcare providers in key discussions on health plan utilization, which improved formulary utilization and reduced inappropriate medication use for the GI-PPI product category.Served as medical science liaison for new product launches and new business channels. Delivered formal clinical presentations on TAP products and disease states to regional MCOs, academic institutions, and LTC accounts. Presented internationally at the Ireland Hospital Pharmacists Association Annual Education Conference in Dublin.
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Consultant PharmacistCompscript, Inc Jan 1993 - Jan 1999Provided pharmaceutical consultant services to LTC facilities such as nursing homes, state hospitals, and assisted living facilities. Managed 10 long-term care accounts, representing $1M revenue. Provided monthly and quarterly summaries of DUR & DRR, including patient outcomes and cost savings analysis. Organized and taught clinical pharmacy rotations for University of Florida and Nova Southeastern University.
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Pharmacy Manager & Staff PharmacistWalgreens Jan 1990 - Jan 1993Deerfield, Il, Us
Paula Alvarez Skills
Paula Alvarez Education Details
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University Of FloridaApplied Pharmacoeconomics -
University Of Miami Herbert Business SchoolHealth Care Adminstration -
University Of FloridaCollege Of Pharmacy
Frequently Asked Questions about Paula Alvarez
What company does Paula Alvarez work for?
Paula Alvarez works for Critical Intelligence Consutling
What is Paula Alvarez's role at the current company?
Paula Alvarez's current role is Director of HEOR Access | M.S. Pharmacoeconomics.
What is Paula Alvarez's email address?
Paula Alvarez's email address is pa****@****rma.com
What is Paula Alvarez's direct phone number?
Paula Alvarez's direct phone number is +165042*****
What schools did Paula Alvarez attend?
Paula Alvarez attended University Of Florida, University Of Miami Herbert Business School, University Of Florida.
What skills is Paula Alvarez known for?
Paula Alvarez has skills like Urology, Psychiatry, Allergy, Cardiology, Medicare, Dermatology, Neurology, Managed Markets, Pulmonology, Financial Modeling, Pharmacy Benefit, Biotechnology.
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