Ramona Powell Email and Phone Number

• Experienced managed care executive with a track record of helping payers and clients achieve drug spend targets and clinical outcome goals while balancing total health care costs.• Provides subject matter specialty pharmacy and infusion expertise and leads cross-functional teams dedicated to managing specialty pharmacy trend and quality initiatives across benefits.• Identify and execute unique, client-specific strategies opportunities analyzation of data, clinical policy, and market.• Experience working with providers, payers, employer groups and members allows for a tailored strategy to be developed.

· Develops and implements effective strategies for home infusion drug services, resulting in cost-effective and clinically appropriate options for drug infusion services in the comfort of patients' homes.· Oversees development efforts, creates new HIT products and evaluates the impact. Analyzes home infusion outcomes and identifies opportunities for clients based on market trends and data.· Launches new HIT product strategies, including the creation of quick-to-market accelerator products and HIT modularization products, and applied the general consensus of senior higher-ups to make the overall best final decision.· Identifies and deploys opportunities for operational improvement, resulting in enhanced online portal experience and improved turnaround time. Prioritizes client and provider satisfaction to ensure positive outcomes.· Proposes network provider pricing strategies for infusion network covering infusion suites. Justified capital requests for clinical programs and new product solutions by outlining risks, costs, and regulatory considerations.· Provides HIT tool kits to sales, account management, and customer service teams to enhance subject matter expertise, establish credibility, and advisory capabilities, resulting in increased business development efforts.

· Collaborated with sales teams to create innovative prescription drug programs that aligned with clients' needs. Negotiated partnerships with third-party Pharmacy Benefit Management administrators for smooth program delivery.· Created cost-effective benefit solutions, defined prior authorization requirements, and implemented utilization management strategies, while maintaining consistent member experiences and fast medication access.· Evaluated reporting requirements for employer/health plan business, determined pricing strategies and provided strategic direction for formulary, while justifying capital requests for clinical programs and new product solutions.· Led the creation and implementation of a cutting-edge medical copay optimization program, including developing comprehensive business requirements and measuring the success, resulting in $1.23 annual savings for one client.· Equipped sales teams with educational tool kits on drug classes and categories to establish credibility and advisory capabilities, while boosting business development efforts.· Coached and mentored product advisors to align new products with strategic benefits and supported finalist presentations and RFP responses, resulting in business success and improved customer satisfaction.

▪ Constructed a standard network and nursing criteria that met insurance and accreditation standards. Developed an online reporting tool for real-time insights to support decision-making and standardized contracting, resulting in improved member experience and a saving of $1.85M associated with standardized network rates.▪ Negotiated contracts with manufacturers to secure medication access through specialty and infusion pharmacies, provider networks, and 340B programs.▪ Organized meetings with specialists and Blue's plans stakeholders to streamline formulary alignment in the medical benefit sector, resulting in $400M in savings and a 2019 nomination for the President's Award.▪ Created budgets to meet affordability goals and provided guidance to a team of direct reports within a new specialty business department.▪ Led implementation of AllianceRx Walgreens Prime Connected Care programs, using evidence-based, patient-centered processes and new technology to improve medication adherence and outcomes.▪ Deployed a comprehensive approach incorporating best practice guidelines to ensure compliance with Fraud, Waste, and Abuse (FWA) regulations for claims audits.