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.

• 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

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.

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.
• 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.
• 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.

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.
• 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.
• 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.
• 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

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.
• 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.
• 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