Susan Nagy, Pharmd, Aph, Bcgp Email and Phone Number
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Susan Nagy, Pharmd, Aph, Bcgp personal email
Susan Nagy, Pharmd, Aph, Bcgp phone numbers
Dr. Nagy is an intentional and determined clinical leader who offers the strategic focus to drive operational excellence and create high quality member services that support system standardization and lower the total cost of care. She is known for building relationships and driving successful collaboration built on respect, loyalty, and trust to create and re-create clinical and operational programs. Her team focused, accomplishment driven leadership style has been an essential management strategy to bring both clinical and administrative leaders together to support organizational change and growth. Key Areas of Accomplishment• Planned and executed the centralization and standardization of 18 Pharmacy UM teams to a single business unit supporting Medicaid and Marketplace Health plans in 19 states and covering 5M lives. • Developed standardized model of NCQA recognized Patient Centred Medical Home to support multiple population types. Enrolled members average a 24% decrease in total cost of care.• Collaborated with enterprise and regional leadership to create a standard Complex Care Coordination program for use across a Regional Health system. Led a complete internal transition to new program including transition to new supporting technology.• Restructured a Medical utilization management department to streamline operations, improve quality, increase auto adjudication by 20% and reduce staff capacity need to support new growth initiative. • Onboarded acquisitions and integrated regional teams to standardize operations and facilitate increased capacity across the organization.• Created and executed strategic plan to expand PCMH model from 2 locations to 9 locations and manage 6,000 additional MediCal lives with a projected profit of $8.4M over 2 years. Key SkillsProgram Development Strategic Planning Operational ExcellenceProcess InnovationWorkforce Development Patient Centered Medical HomesMedicare/Medicaid/Commercial PBM Oversight/ManagementPharmacy and Therapeutics/P&TDisease ManagementCare Management Utilization Management STARsNCQAPharmacy LeadershipFormulary Management Change Management
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Avp, Pharmacy ServicesMolina Healthcare Mar 2020 - PresentLong Beach, California, UsSenior Leader responsible for the creation and ongoing leadership of a national UM Pharmacy Team and the centralization of all Pharmacy UM services from individual state plan management across the Molina Healthcare System.Key accomplishments include: - Created national team structure including leadership, workflows, training, quality oversight, and policy and procedures for centralized management of Pharmacy UM - Developed and completed project plan to centralize the work of 180 employees across 14 states and manage both remote and on site leaders and staff - Established workflows and structure to maintain compliance with the management of approximately 4 million Medicaid and Exchange lives and approximately 55,000 prior authorization reviews monthly - Developed and implemented structure to manage compliance and quality which is adherent to individual state guidance requirements for Medicaid and Exchange plans across the system- Managed the successful onboarding of 800,000 lives across 9 implementations and 8 different states for the 2022 plan year
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Managing PartnerJstd Llc Jun 2013 - PresentJ&S Therapeutic Designs provides clinical and operational pharmacy services to Medicare and Commercial Health Plans, Medical Groups, Independent Physician Associations and Individuals needing Pharmacist support. Services include:¥ Operational development and oversight of pharmacy departments including compliance with both Medicare and Department of Managed Health Care regulations¥ Design, management and maintenance of formulary¥ Bid support and management of regulatory audits ¥ Pharmacy Benefit Manager oversight and relationship management ¥ Clinical support of STARs and disease management initiatives ¥ Operational oversight of utilization management, appeals and grievances¥ Maintenance and management of Pharmacy Policy and Procedure¥ Clinical support for physicians and individuals
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Managing DirectorSprocket Websites, Inc. 2010 - PresentNaperville, Il, Us -
Managing PartnerJ&S Tech Designs Aug 2007 - PresentJ&S Tech Designs specialize in bringing affordable, high quality website solutions to small businesses. We create the professional look and feel you need, while you easily maintain the content without knowing anything complicated or technical. Our innovative website designs allow you to stand out, providing a quality web experience for your customers. -
Vp Clinical Program DevelopmentDignity Health Management Services Organization Jan 2018 - Mar 2020Bakersfield, California, UsDignity Health MSO provides administrative services for over 150,000 covered managedcare lives.As VP of Clinical Program Development, leads Utilization Management, Care Coordination, Social Services and Pharmacy departments providing direct patient care to managed members. Responsible for development and implementation of all Clinical Programs. Key accomplishments • Realigned medical utilization management team to increase efficiency• Collaborated to design the complex care management strategy for use across the Dignity Health Enterprise• Reconstructed care coordination workflow to create a team approach that allows continuity of care across all health settings• Developed and implemented a patient centred medical home for Medicaid members in partnership with a large, local Medicaid health plan• Manage staff in multiple geographic areas throughout the state -
Vp Clinical Program DevelopementManaged Care Systems, Lp Feb 2017 - Jan 2018Bakersfield, Ca, Us- Clinical Program Development -- Patient Centered Medical Home-- Disease Management Clinics- Clinical Program Strategy- Management of Federal and State regulations for Clinical Programming- NCQA accreditation and recognition management- Member of Executive Management Team- Clinical Support for Medical Group and Case Management- ACO program development -
Director Of PharmacyManaged Care Systems, Lp Mar 2014 - Feb 2017Bakersfield, Ca, UsAs Pharmacy Director for the management company, responsibilities include:• Pharmacy component development and implementation for self-funded plans• Pharmacy Benefit Manager oversight for self-funded plans• Accountable Care Organization project planning and implementation • Clinical support for Medical Group and for case management• Planning, implementation and clinical oversight for Anticoagulation clinic• Member of executive management team for finance• Transition of Health Plans including Pharmacy Benefit Manager change
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Group Fitness InstructorFitness 19 Oct 2013 - Feb 2015 -
Director Of PharmacyGemcare Health Plan Jul 2011 - Mar 2014As Pharmacy Director for the Health Plan, responsibilities include: ¥ Formulary development, design and administration including utilization management¥ Administrative oversight, coaching, management of Pharmacy staff ¥ Compliance for both Medicare and Commercial plans (DMHC) includingo Maintaining compliance for both organizationso Creation and maintenance of all Policies and Procedureso Reporting o Internal and external audit responsibilityo Pharmacy Benefit Manager oversight¥ STARs responsibility for Part D¥ Member of executive management teams for strategic planning and finance¥ Chair of Pharmacy and Therapeutics Committee¥ Leadership of residents on Managed Care rotations• Clinical support for members and physicians
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Fitness InstructorIn Shape Health Club Jul 2010 - Dec 2012
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Clinical Pharmacy ResidentKern Medical Center Jul 2010 - Jun 2011
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Data Center OperationsSxc Health Solutions Jul 1997 - Sep 2002Schaumburg, Illinois, Us
Susan Nagy, Pharmd, Aph, Bcgp Skills
Susan Nagy, Pharmd, Aph, Bcgp Education Details
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University Of Illinois ChicagoPharmacy -
University Of Illinois ChicagoDoctor Of Pharmacy (Pharmd)
Frequently Asked Questions about Susan Nagy, Pharmd, Aph, Bcgp
What company does Susan Nagy, Pharmd, Aph, Bcgp work for?
Susan Nagy, Pharmd, Aph, Bcgp works for Molina Healthcare
What is Susan Nagy, Pharmd, Aph, Bcgp's role at the current company?
Susan Nagy, Pharmd, Aph, Bcgp's current role is AVP, Pharmacy Services at Molina Healthcare.
What is Susan Nagy, Pharmd, Aph, Bcgp's email address?
Susan Nagy, Pharmd, Aph, Bcgp's email address is su****@****tes.com
What is Susan Nagy, Pharmd, Aph, Bcgp's direct phone number?
Susan Nagy, Pharmd, Aph, Bcgp's direct phone number is +163080*****
What schools did Susan Nagy, Pharmd, Aph, Bcgp attend?
Susan Nagy, Pharmd, Aph, Bcgp attended University Of Illinois Chicago, University Of Illinois Chicago.
What skills is Susan Nagy, Pharmd, Aph, Bcgp known for?
Susan Nagy, Pharmd, Aph, Bcgp has skills like Healthcare, Pharmacy, Management, Managed Care, Pharmacists, Clinical Research, Web Design, Diabetes, Medication Therapy Management, Hipaa, Strategic Planning, Hospitals.
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