Renée Baggett, Pharmd, Mba, Bcps Email & Phone Number

Southlake, Tx, Us

• Responsible for identifying and implementing strategies that will lead to controlling or decreasing overall health care cost. • Responsible for developing and promoting strategies that enhance quality of pharmaceutical care in a cost effective manner to establish competitive business advantage and to bring about the most effective clinical results for disease state programs.

• Provide consultative active management of day-to-day clinical service offerings supporting the sales and implementation of the company’s clinical programs• Analyze physician prescribing and member utilization patterns to identify trends and client needs; appropriately leverage clinical offerings to include formulary management and cost effective clinical solutions• Attend finalist presentations, client benefit and utilization reviews; lead clinical portion• Ensure client satisfaction throughout plan implementation and plan administration• Interact cross-functionally regarding group installation and management• Maintain and develop relationships with new and existing clients, consultants and third party administrators• Analyze and recommend new product/client benefits• Identify client specific and emerging industry trends as well as identify short term and long term up-sell opportunities• Coordinate clinical project plans individually and with account management and clinical teams• Provide background and strategic insight to internal sales pursuit teams• Promote an environment of collaboration and communication among departments• Participate in business events, conferences, trade shows and seminars on an as needed basis• Other duties as assigned

Christus Health Plan Irving, Tx

Supports health plan by applying clinical and analytical skills in a managed care environment to impact the health of members, provide education to providers, and reduce healthcare costs.• Served as a clinical subject matter expert to the pharmacy program and provided clinical consulting services through analyzing drug utilization patterns and trends.• Responsible for monitoring compliance with all state and federal regulatory guidelines for Medicaid, Medicare, Healthcare Exchange, and USFHP lines of business.• Created, validated, and quality checked regulatory mandated reports to ensure accuracy prior to submission and monitored submissions of all program performance reports to ensure timeliness.• Provided oversight and feedback for potential revisions and maintenance of health plan formularies.• Interpreted policies and procedures and established guidelines to support pharmacy programs and ensure regulatory compliance.• Provided direction to and collaborated with PBM vendors to support achievement of the pharmacy program financial and clinical outcome goals.

Irving, Tx

Developed and implemented targeted drug utilization and disease state management strategies to deliver high quality, cost effective healthcare. Promoted clinically appropriate prescribing practices based on evidence based medicine and national guidelines through various modalities. Developed, researched, and updated drug utilization management strategies and intervention techniques.• Created and maintained medication protocols and criteria for the review of pharmacy prior authorizations by pharmacy staff and pharmacy benefits manager.• Performed prior authorization reviews of high-cost medications, deferred authorization requests, and drug utilization intervention programs.• Worked with Healthcare Services on member centered interdisciplinary teams to identify potential targeted utilization management and to serve as a drug information resource to Pharmacy staff, Medical Affairs staff, and Providers.• Provided medication therapy management including examination of the member’s medical record, performing a comprehensive medication review, communicating with the member and providers to optimize members’ medication regimen and utilization.

Dallas/Fort Worth Area

Member of Clinical Pharmacy team. Functioned as a Neuroscience and Diabetes Specialist in support of optimizing medication therapy management for patients with high drug utilization, medications associated with elevated risk, and excessive cost. Provided educational opportunities to healthcare professionals regarding safe prescribing and instructed patients on appropriate and safe medication utilization.• Reviewed prescriptions for key data elements against the original prescription to ensure all information was accurately interpreted and recorded including: max daily dose, drug/drug, drug/food, or drug/disease state interactions, therapy duplication, drug coverage• Clarified prescriptions with outbound prescriber contact via phone or fax: calls on dosage errors, directions clarification, drug interactions, medication allergies, duplicate therapies, and new prescriptions to enhance quality patient care and reduce medication errors• Counseled patients on drug interactions, side effects, and medication use to improve adherence• Provided pharmacokinetic consults and therapeutic monitoring for geriatric patients to improve quality and safety in high risk patients• Collaborated with client teams to provide written medication therapy management reviews for specific patients with excessive medication utilization to improve patient safety and costs• Contributed to development and integration of pharmacovigilance review process of CII medications based on best practices to curtail fraud, waste, abuse, and misuse of dangerous drugs• Participated as a team member to enhance standard operating procedures for review of CII prescriptions by providing written sections which served to improve inclusive regulatory review including: current pain guideline recommendations, REMS programs, and prescribing alerts• Ensured quality and productivity standards were met and/or exceeded by monitoring and performing audits of pharmacist DUR resolutions and patient/provider contacts

Austin And Dallas/Fort Worth, Texas

Managed and directed pharmacy team of 10 members to maximize cost effective operation and quality pharmaceutical care to patients. Administered policies and procedures for the safe procurement, storage, distribution and use of drugs. Maintained all required documentation in accordance with federal and state regulatory agencies and policy.• Maintained patient database to include appropriate current and past medical history, appropriate clinical and laboratory data, and concurrent medication (including over-the counter medication) to ensure health outcome objectives• Upheld daily controlled substances inventory and conducted annual inventories to ensure regulatory compliance and to evaluate inventory turnover for improved profit opportunities• Supervised departmental employee performance standards to guarantee service expectations by consistently meeting productivity and efficiency metrics• Determined staffing requirements, hiring, training, coaching, development, and recognition of pharmacy personnel to achieve departmental success and 15% growth in revenues

Doctor Of Pharmacy (Pharmd), Magna Cum Laude

Experiential Internship: • Shands Hospital at UF, Gainesville, FL

Master Of Business Administration - Mba, Health/Health Care Administration/Management

Activities and Societies: Alpha Chi - National College Honor Society, Beta Gamma Sigma - International Business Honor Society

Bachelor Of Science (B.S.), Pharmacy

Experiential Internship: • Baylor Medical Center, Dallas, TX • John Peter Smith Hospital, Fort Worth, TX • Pharmaceutical Care Continuum.

Bachelor Of Science (B.S.), Biomedical Sciences, General