Ruth Leonard Email and Phone Number
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Ruth Leonard is a VP PBM Operations at Pharmastar PBM. She possess expertise in pharmacy benefit management, utilization management, managed care, disease management, medicaid and 13 more skills.
Pharmastar Pbm
View- Website:
- pharmastarpbm.com
- Employees:
- 18
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Vice President Medicare And Quality StrategyPharmastar Pbm Sep 2021 - Present
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Chief Clinical OfficerGpsrx Jul 2019 - Sep 2021Newport Beach, California, United States
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Area Vice PresidentSolid Benefit Guidance Mar 2019 - Jul 2019• Health Plan Client support regarding Pharmacy Benefit Manager oversight, leveraging each PBM’s services, tools, capabilities, and contractual obligations.• Clinical evaluation of formulary and utilization management activities; benchmarking for clients with assessment of insource vs outsource capabilities and options for health plans.• Assist clients in PBM contract review and renegotiation of contract terms.• Assist clients to create or revise policies and procedures related to client’s responsibility in the administration of the pharmacy benefits.• Assist clients in monthly monitoring and outcome reporting.• Lead consultant for PBM, Medical Drug Management and Medication Therapy Management RFP procurement activities.• Assist with Clinical and Financial Audits for SBG clients; prepare and present reports for the client/PBM.
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Clinical ConsultantSolid Benefit Guidance Apr 2015 - Mar 2019• Health Plan Client support regarding Pharmacy Benefit Manager oversight, leveraging each PBM’s services, tools, capabilities, and contractual obligations.• Clinical evaluation of formulary and utilization management activities; benchmarking for clients with assessment of insource vs outsource capabilities and options for health plans.• Assist clients in PBM contract review and renegotiation of contract terms.• Assist clients to create or revise policies and procedures related to client’s responsibility in the administration of the pharmacy benefits.• Assist clients in monthly monitoring and outcome reporting.• Lead consultant for PBM, Medical Drug Management and Medication Therapy Management RFP procurement activities.• Assist with Clinical and Financial Audits for SBG clients; prepare and present reports for the client/PBM.
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Director Rx Quality And Cost InitiativesOmedarx Formerly Regencerx Dec 2012 - Apr 2015Boise, Idaho Area• Oversight and coordination of all Quality Improvement activities involving pharmacy.• Active involvement with interdepartmental projects regarding STAR initiatives for the Medicare Advantage population, HEDIS and URAC projects.• Development, implementation and oversight of new cost savings projects.• Development of medication adherence reporting and interventions.• Development and coordination of individual state exchange formularies in our four states of operation.• Successful leader in cross functional teams within the health plan and pharmacy operations.• Expertise in pharmacy claims systems utilizing Medispan and FDB data. -
Manager, Clinical PharmacyRegencerx Feb 2002 - Dec 2012Boise, Idaho• Development and execution of all pharmacy outreach and education programs for including Medication Therapy Management programs for Medicare Part D members and commercial plans.• Oversight and coordination of clinical coding including formulary coding, DUR, Prior Authorization (PA), step edits, quantity limits, MADD edits, and DACON edits.• Experience with retail pharmacy claims processors (RxClaim, Prospective Health Systems & Argus), medical claims systems (Facets) and predictive modeling tools (Impact Pro), Case management tools (Clinical Care Advance).• Review of all clinical coding, including preferred medication list (formulary), PA, step edit, DACON, MADD, preventative lists for claims processor transition from Argus to PHS.
Ruth Leonard Skills
Ruth Leonard Education Details
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Pharmacy
Frequently Asked Questions about Ruth Leonard
What company does Ruth Leonard work for?
Ruth Leonard works for Pharmastar Pbm
What is Ruth Leonard's role at the current company?
Ruth Leonard's current role is VP PBM Operations.
What is Ruth Leonard's email address?
Ruth Leonard's email address is rl****@****its.com
What is Ruth Leonard's direct phone number?
Ruth Leonard's direct phone number is +180133*****
What schools did Ruth Leonard attend?
Ruth Leonard attended South Dakota State University.
What skills is Ruth Leonard known for?
Ruth Leonard has skills like Pharmacy Benefit Management, Utilization Management, Managed Care, Disease Management, Medicaid, Provider Relations, Medicare, Pharmacists, Healthcare Industry, Pharmacy, Clinical Pharmacy, Health Policy.
Who are Ruth Leonard's colleagues?
Ruth Leonard's colleagues are Jeanne Hudson, Brandi Russell, Melissa Brempell, Kayla Weltzin, Jenn Rauckman, Antonio Gambink, Karissa Wissell.
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Ruth Leonard
Cle And Professional Development Specialist At Stinson L.L.P.Kansas City Metropolitan Area3ymail.com, mcginfo.com, stinson.com2 +161233XXXXX
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Ruth Leonard
Denver Metropolitan Area6aol.com, hotmail.com, alteryx.com, coresite.com, ballaerospace.com, ballaerospace.com3 +172049XXXXX
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