Paul Fung Email & Phone Number

Kansas City, Mo, Us

Kansas City, Missouri, United States

• Client Relationship Management: Building and maintaining strong client relationships, ensuring client satisfaction, and exceeding expectations.• Client Retention Strategies: Developing and implementing strategies to retain clients and reduce churn rates.• Team Leadership: Overseeing and leading a team of client success managers responsible for individual client accounts.• Onboarding: Ensuring a seamless onboarding process for new clients to help them get started with the company's services efficiently.• Client Satisfaction: Monitoring and measuring client satisfaction, addressing any concerns or issues promptly.• Client Advocacy: Encouraging satisfied clients to become advocates for the company through testimonials, referrals, or case studies.• Revenue Growth: Identifying opportunities to expand the company's offerings within existing client accounts, thereby increasing revenue.• Data-Driven Decisions: Using data and analytics to understand client behavior, needs, and trends, and making informed decisions based on this information.• Team Development: Leading and developing a team of client success professionals, setting goals, and providing guidance and support.• Cross-Department Collaboration: Working closely with other departments to develop and execute client success strategies that align with the company's overall goals.• KPI Management: Defining and tracking key performance indicators (KPIs) related to client success and reporting them to senior management.• Process Improvement: Continuously assessing and improving client success processes and procedures to enhance the overall client experience.• Crisis Management: Addressing any client-related issues or crises promptly and effectively to maintain trust and confidence.• Effective Communication: Ensuring seamless communication between the client success team and other departments.

Kansas City, Missouri, United States

• Account and P&L management, business development, sales, strategy.• Client facing responsibilities and primary contact for escalated contract issues. • Overseeing the process for developing, testing and placing into production new pharmacy, medical clinical and fiscal editing criteria.• Monitoring contract performance and cost saving goals.• Conducting research in order to implement and enhance programs.• Managing subcontractors and vendors contracts supporting the account.• Facilitating reports and client requests for ad-hoc queries.• Managing client expectations and requests. • Working with deputy account manager, project managers and technical staff to promote software releases and change requests through cycles. • Contributing to the improvement of processes, systems, tools, procedures.• Reviewing, analyzing, and applying literature to specific therapeutic situations.

Kansas City, Missouri, United States

Pharmacy Consulting:• Manage client relationships and sales support• Strategic consulting related to client’s pharmacy benefit management strategies• Clinical Program & Solutions Development for Regional Health Plan Clients• Trend Analytics & Reporting

Kansas City, Missouri Area

Managed Care Organization:• Developed policies, procedures, strategies and work methods to achieve business goals.• Ensured success of department by hiring, training, developing, coaching and evaluating staff members.• Oversaw drug formulary design and development, implementation and risk management in a manner that improved quality, control utilization and contain costs & trends for over 1M members.• Oversaw & coordinated the review of pharmacy medical policies and chaired the Pharmacy and Therapeutics Committee.• Directing a wide variety of clinical, administrative, financial and regulatory issues involved in the management of pharmacy costs and utilization of all drugs covered under the medical and pharmacy benefits. Managing over $1 billion/year in drug spend.• Oversaw the contract with the external Pharmacy Benefit Manager and serving as primary lead.• Participated in development of disease state management programs and other population health management strategies.• Supported marketing with client reporting, including performing trend and market analyses as well as participating in sales/marketing presentations.• Ensured the success of department by hiring, training, developing, coaching and evaluating pharmacy staff.

National

Pharmacy Benefit Management:• Oversee the clinical analysis and research activities related to the implementation and ongoing maintenance of formulary and utilization management program. • Clinical and operations expert for the organization in leading the development and delivery of medication utilization programs. Support opportunities for new clinical products for the expansion and maximization of revenue growth. • Client facing responsibilities related to leading the upsell of clinical program solutions and formulary related programs through consultative methods and processes. • Leadership oversight of the Pharmacy and Therapeutics committee charter and membership. • Consult with leadership, peers, business divisions, and business operations to troubleshoot and resolve issues associated with the marketing/sales, financial underwriting, implementation and reporting of clinical programs and services in support of business division goals and objectives. • Management oversight of the operational team responsible for the implementation and maintenance of drug formularies, utilization management algorithm/criteria input for Prior Authorization review. • Build Utilization Management (UM) Clinical Development team. • Partner with Formulary & Benefit Operations in test case requirements development and review for the quality testing of formulary updates and new utilization management programs.

Kansas City, Missouri Area And Columbia, South Carolina Area

Managed Care Organization:• Develop, design and oversee all aspects of the pharmacy program including policies and procedures for the health plan as a start-up.• Direct, monitor and manage the pharmacy benefit management (PBM) company and other specialty vendors. Including claims processing, preferred drug list (PDL) management, utilization management (UM), and pharmacy trending.• Administer the drug formulary and portions of the major medical benefit to increase efficiency and improve appropriate drug utilization. • Develop the drug utilization review (DUR) and prescriber profile programs.• Ensure compliance with clinical goals and contractual requirements of the Department of Health and Human Services (DHHS) as they pertain to providing pharmacy services to the Medicaid population.• Lead the quarterly pharmacy and therapeutics (P&T) committee meetings by presenting administrative and clinical information.• Lead for the implementation of a patient centered medical home (PCMH) program• Develop and implement a medication therapy management program (MTMP) for the Medicaid membership

Kansas City, Missouri Area

Home Infusion Services:• Participated in Performance Improvement activities with the quality improvement department to effectively manage reporting time by applying new software system support.• Developed and implemented policies and procedures for pharmacy operations in order to meet operational and state requirements. This minimized exposure to liability for the company.• Often worked directly with the Director of Regulatory and Provider Relations in contract negotiations to assure adequate reimbursement of drugs and compounding services. Involvement avoided financially detrimental long term contracts.• Acted as the computer liaison between the Information Systems department and the pharmacy department by downloading and updating pharmacy software for more efficient operations.• Trained or delegated training for all new staff members. • Ensured JCAHO and HIPAA standards were met and successfully prepared the department for 2 JCAHO reaccreditation surveys. This was necessary to maintain the credibility of the pharmacy services provided to patients and providers.• Worked closely with other management teams within the Visiting Nurses Association to improve patient care by attending regular case conferences. This provided a forum to maximize patient care and minimize financial losses to the company

Greater Denver Area

Home Infusion, Anticoagulation Clinic, Oncology Clinic, Travel Clinic:• Counseled patients in the International Travel Clinic about immunization requirements and methods of protection while overseas.• Prepared chemotherapeutic agents at the Oncology pharmacy and also involved in research projects to determine proper chemotherapy use.• Duties at the Anticoagulation clinic included monitoring INR’s, PT’s and PTT’s for patients on warfarin therapy.• Consulted with physicians, pharmacy specialist and nursing staff to optimize patient care and outcome.

Doctor Of Pharmacy - Pharmd

Master Of Science, Health/Health Care Administration/Management

Bachelor Of Science, Pharmacy

High School Diploma, Science