Robert Estrada Email & Phone Number

Cambridge, Cambridgeshire, Gb

As a key player in executing the AstraZeneca Affordability Portfolio and Above brand Assets, I am crucial in identifying new capabilities, ensuring accountability for Patient Support Vendors and Partners, and maintaining consistency and governance in Patient Support. These efforts directly contribute to our commitment to patient support and compliance.Work in close partnership with cross-functional AstraZeneca partners and external suppliers.Create and lead the strategy for centralized vendor management, governance, and operations for program vendor partners to drive consistency, service excellence, and clarity with internal and external customers, mitigate risk, and control costs.Serve as the primary contact and partner with program vendors.Led a team of Associate Directors and marketing team members, providing crucial support on above-brand collateral and overall Patient Support vendor management, governance, and budgetingIdentify, assess, and evaluate potential capabilities, partners, and services that will create value for Patient Support and, in turn, the patients and providers.Continually monitor and share emergent, disruptive trends in strategy, technology, and business.Partner with legal and compliance to minimize AstraZeneca’s risks relating to HIPAA, The Anti-Kickback Statute, Food and Drug Cosmetic Act, Product Liability, State Prescription Laws, and other relevant state and federal lawsResponsible for centralized oversight and budget management for government insurance screening program for co-pay card programs, partnering with compliance and legal.

Cambridge, Cambridgeshire, Gb

• Accountable for supporting the design of bona fide service strategies that align with Brand and Therapeutic Area Access Strategies for launch and in-line products.• Responsible for the development and implementation of customer segment specific services and strategies across the Oncology and Biologic BusinessUnits portfolios• Work cross-functionally with Access Strategy and Market Access teams (Contract Strategy, Customer Facing teams) in developing services and programs in support of brand and patient initiativesSupport Access Strategy in the development of product distribution and dispensing recommendations• Partner with Market Access Governance team to provide stakeholders with support through the ACERT governance process, including fair market value assessment• Develop deep understanding of bona fide service fee(BFS) criteria and applicable Safe Harbor regulations to educate and assist key stakeholders in the design and implementation of service strategiesPartner with Legal and Compliance to ensure service strategies remain compliant with industry regulations and standards (Anti-Kickback, Safe Harbor, False Claims)Monitor and evaluate shifts and changes in the marketplace environment and proactively make recommendations on service strategiesCoordinate with team on activities related to contract writing ensuring brand and strategy intent is accurately reflected

Cambridge, Cambridgeshire, Gb

• Lead a team comprised of Patient Access Managers, Supervisors, Associates and Specialists and with vendor partners focused on patient and provider affordability service delivered across multiple channels. • Ensured contact center staff adhere to legal and compliance policies to minimize risks relating to the Health Insurance Portability and Accountability Act, Anti-Kickback Statute, and Food and Drug Cosmetic Act, Product Liability, and State Prescription Laws.• Managed approximately 3 million-dollar budget, provide financial reporting to senior leadership, and drive efficiencies to maximize resource needs• Interacted with management and internal customers to provide knowledgeable input regarding the factors that need to be considered as market and product strategies are developed• Shared best practices across program areas and brands identifying common areas of improvement • Established relationships and partnerships within in Access Service Strategy, Channel, Legal and Compliance, and Brand Engagement• Evaluated vendors and work with procurement to secure the right solution to meet the business need

Cambridge, Cambridgeshire, Gb

• Managed and executed programs in multiple Therapeutic Areas focused in Affordability, Pharmacy Coordination, and Data Entry• Developed and implemented Pharmacy Coordination process across therapeutic areas, leveraging technology to increase efficiency• Assisted with recruiting creating an inclusive and diverse team to foster employee development and retention• Monitored and reported program performance and results against Key Performance Indicators • Provided sound analytics and solutions around general trends with access barriers at specialty pharmacy providers • Participated upon request in various meetings or communications with cross functional teams• Supported development processes for the Access 360 program for Intake, Patient Saving Program, and Pharmacy Coordination• Supported stakeholders in assessing and meeting the Therapeutic Area resource needs • Worked with Access 360 Quality and Training team to establish training plans for the supervised staff • Participated in PI strategic planning exercises with the director, associate director, and PMO

• Liaise with clientele to build strong rapports and design project task plans, standard operating procedures, work instructions and business continuity plan• Manage day-to-day operations of Parma HUB services, providing day to day instructions to ensure goals and obligations are met• Identified program shortcomings / bottlenecks and implement resolutions.• Independently and effectively resolve complex accounts with minimal supervision• Conduct coaching and goal collaboration meetings with staff, reviewing cases, attendance, and other areas of development • Utilize data drawn from comprehensive reports and historical trend analysis to support key business decisions. • Identify reimbursement issues, and educate internal and external partners on the payer landscape• Pitch/market areas for business development and present quarterly business reviews • Manage all enhancements of proprietary software and documents• Collaborate with IT on implementation of new and existing initiatives. • Assist in interviewing and hiring new employees and support new associates development• Accountable for program quality and compliance and coordinate services with the specialty pharmacy • Provide exceptional customer service to internal and external customers; resolve escalated patient, sales team, and client issues in a timely and accurate manner

•Manage the delivery of high quality data from project start-up and planning, to project execution and closeout on several projects•Perform assignment specific quality control and quality assurance tasks by ensuring consistency, accuracy, and adherence to federal regulations, Good Clinical Practice, and Good Clinical Data Management Practices•Enter and abstract data on several different protocols into multiple clinical databases or pharmaceutical/CTMS paper CRFs•Review protocol and incorporate protocol-specific guidelines into the review of clinical trial data on several projects simultaneously•Contribute to the design of the databases and eCRF’s by ensuring they meet requirements for the entry and reporting of clinical data of varying complexities•Test new processes and systems for the management of data in clinical trials databases, assuring compliance with protocol and institutional processes and procedures•Process, track, and validate data accurately and on time, in accordance with data processing and entry instructions•Develop and extract patient clinical data reports for publications and presentations•Prepare, review, and submit clinical data to monitoring agencies•Communicate and maintain relationships with clients and research teams by informing them of project statuses and key project question

• Ensure accurate reimbursement from third party payers; minimizing bad debt written-off • Advise senior management of unusual trends for non-payment from insurance companies• Work with insurance companies regarding issues that may arise• Develop and implement billing policies and procedures• Audit internal insurance claims, ensuring all pertinent information is present ,at the time of filing• Correct and appeal, denied Medicare, Medicaid, CHIP, and commercial insurance claims• Communicate with other departments to ensure that patients medications are billed properly, prior to shipping orders• Call third-party payers & patients to follow up on outstanding unpaid claims• Making certain claims filed, adhere to billing statutes established in Federal, State, & third party contracts• Identify insurance claims needing to written-off, due to erroneous billing, prior to an audit or take back

Hyattsville, Maryland, Us

• Received customers and their phone calls, identifying the nature of their business in order to best serve them • Prepared written correspondence in response to audits • Provided administrative assistance to the pharmacy manager • Conducted internal company audits• Corresponded with third parties via fax, telephone, email, and postal service• Retained and maintained prescription records, in compliance with Federal and State regulations• Processed, filled, and compounded prescription medications• Recommended changes to optimize team output• Maintained accurate daily logs for auditing purposes

• Reviewed, evaluated, and analyzed Medicare claims for accuracy in all 4 jurisdictions (A,B,C,D) including 45 state Medicaid plans and CHIP programs • Recommended and wrote SOPs to adapt policy change • Provided technical assistance and monitored team performance in order to recommend changes to senior management • Reported insurance investigations to prevent audits• Obtained contracting information for both prescription and DME insurances • Worked with CF care centers to evaluate which Medicaid managed care plan worked best to fit a patients’ need• Adjudicated Medicare, Medicaid, and commercial insurance claims• Ensured compliance with Federal and State programs• Reviewed and tracked unpaid third party claims• Obtained payer requirements for submitting CMS 1500, and Universal claims forms

Bachelor Of Arts (B.A.), Political Science And Government

Minor, Biology, General

Pharmacy

Master'S Degree, Health/Health Care Administration/Management