Regina A. Mears Email & Phone Number

Greater Tampa Bay Area

Implement clinical programs to improve patient outcomes. Pharmacy informatics to serve as clinical liaison for IT projects. Project manager and subject matter expert.

Usa, Canada

Empower patients to navigate a very complex and fragmented healthcare system to find appropriate care and improved outcomes. Work in Health Care Industry to provide robust consulting services to meet client's specific needs. Experience in: -Pharmacist SME for CMS Medicare Part D Audits of Health Plans-Design adherence protocols and scripts for patients and prescribers-Perform MTM, disease management, health coaching in office based practice-Writing and presenting CME programs and publications. -Writing, creating and demonstrating patient education modules and programs of learning to facilitate medication adherence and lifestyle modification. -Coordinate, facilitate and implement multi-disciplinary solutions for health care and patient-centered issues

Tampa/St. Petersburg, Florida Area

Pharmacy SME for coverage determinations, appeals, grievances, prior authorizations, external review, and Specialty Pharmacy. Responsible for development and improvement of current modules. Review regulatory information to maintain compliance for all modules and all pharmacy clients. Client facing role for Specialty Pharmacy, Health Plans and PBM's.

Tampa/St. Petersburg, Florida Area

Responsible for patient and prescriber campaigns to improve Part D Star Ratings and outcomes. Responsible for vendor relationships and accountability. Tracked and reported effectiveness of interventions while identifying opportunities and creating solutions to address the gaps. Managed and coordinated cross-functional teams to meet deadlines and produce product. Researched and presented formulary monographs. Active participant in P&T Committee. Initiated Opioid Overutilization Program as prescribed by CMS. Identified researched corporate Drug Utilization Issues and presented recommendations for improvement to DUR Committee. Assisted with coverage determination/prior authorizations, redeterminations/appeals, Mail order and specialty pharmacy.

Orlando, Florida Area

Managing staff, inventory, training. Immunization certified and directed in-store immunization program. Diabetes certification and initiated in-store patient focus on diabetes management. Success record proven with superior store metrics in patient service, positive patient feedback, inventory and meeting company goals.

Responsible for nation wide patient screening events: asthma (peak flow), bone density, diabetes, cholesterol. Provide education to patient regarding disease state. Work with sponsor representatives, health care provider to ensure successful event outcomes.

Coordinated PR, recruiting, hiring and training of new staff. Project management for fundraising events.

Responsible for implementing centralized pharmacy services or non-profit hospital. Well versed in JCAHO standards, HIPPA, State pharmacy and regulatory standards. Coordinated multi-discliplinary team approach to patient medication management and delivery.

Managed the West Virginia Prescription program. Project manager for OBRA 90 Rebate program implementation. Worked directly with Government appointed HHS director for program compliance. Coordinated guidelines with multidisciplinary team throughout state government to ensure patient and provider service. Well versed in federal and state laws, reimbursement guidelines and meeting budget.

Pharmacy

Ma, Counseling, Consulting

Specialized in skills to facilitate lifestyle changes and improve patient compliance and adherence. Focussed on system models.

Education record