Scott Gavin

Scott Gavin Email and Phone Number

AVP Pricing & Underwriting at Prime Therapeutics @ Prime Therapeutics
Scott Gavin's Location
Franklin Lakes, New Jersey, United States, United States
About Scott Gavin

Well established pharmacy benefit professional with an excellent understanding of current challenges to the industry with both internal finance and external account management, client-facing experience. I have experience involving underwriting, health care, pharmaceuticals, contracting, PBMs, advanced Excel skills, presentation skills to key executives, and other relevant experience.Over 20 years of pharmacy experience and 14 years of PBM experience. What drives me in this industry: as we age, we realize the health of us and our loved ones becomes something we think about or deal with daily. I want what I do to be part of the solution and help address the many problems our healthcare system has. My passions include sports, cars, politics, technology, news, real estate, sales/marketing, current events, entertainment, and music.Licensed Life Insurance Producer, State of NJLicensed Accident & Health Insurance Producer, State of NJ

Scott Gavin's Current Company Details
Prime Therapeutics

Prime Therapeutics

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AVP Pricing & Underwriting at Prime Therapeutics
Scott Gavin Work Experience Details
  • Prime Therapeutics
    Avp, Pricing & Underwriting
    Prime Therapeutics Jun 2024 - Present
    Eagan, Mn, Us
  • Prime Therapeutics
    Senior Director, Underwriting / Pricing
    Prime Therapeutics May 2020 - Jun 2024
    Eagan, Mn, Us
  • Magellan Rx Management
    Senior Director, Underwriting
    Magellan Rx Management Nov 2020 - Jun 2024
    Eagan, Minnesota, Us
    Senior Director, PBM UnderwritingMagellan Rx Management was acquired by Prime Therapeutics in December 2022.
  • Magellan Rx Management
    Director, Underwriting
    Magellan Rx Management May 2020 - Nov 2020
    Eagan, Minnesota, Us
    Director, PBM Underwriting
  • Magellan Health
    Senior Director, Underwriting
    Magellan Health Nov 2020 - Dec 2022
    Frisco, Texas, Us
    Senior Director, PBM UnderwritingMagellan Rx Management was acquired by Prime Therapeutics in December 2022.
  • Magellan Health
    Director, Underwriting
    Magellan Health May 2020 - Nov 2020
    Frisco, Texas, Us
    Director, PBM Underwriting
  • Pillow Pharmahealth (Pillowᴾᴴ)
    Vice President, Finance & Analytics
    Pillow Pharmahealth (Pillowᴾᴴ) Jan 2019 - May 2020
    Atlanta, Georgia, Us
    • Finance VP responsible for internal finance and client finance, including PBM pricing, reporting, analytics. • Conducted RFPs, negotiated, and contracted with back-end vendors/partners for retail networks, mail-order pharmacy, specialty pharmacy, rebates.• Created reporting prototypes and templates for internal and client reports of key performance metrics.• Conduct various client analytics to respond to client reporting needs and/or internal reporting needs. • Manage all financial relationships with vendors in which we need to manage to pricing guarantees. • Analyze data of prospects, model various pricing terms, and underwrite competitive pricing proposals that win client business and achieve internal margin goals that are compliant with proformas.• Perform weekly MAC (Maximum Allowable Cost) management to ensure that generic pricing is as competitive as it can be for our clients, while maintaining compliance with retail contracts.• Developed ongoing relationships with brokers to win additional clients. • Present proposals and repricing summaries to prospects, brokers, and consultants.• Created client contract template, including all pricing sections, definitions, and guarantee reconciliation methodology.
  • Pillow Pharmahealth (Pillowᴾᴴ)
    Finance Director
    Pillow Pharmahealth (Pillowᴾᴴ) Apr 2017 - Jan 2019
    Atlanta, Georgia, Us
    Responsible for PBM Finance, Pricing, Reporting, & Analytics.www.PillowPH.com
  • Pharmaceutical Strategies Group - Psg
    Senior Consultant, Financial & Analytical Services
    Pharmaceutical Strategies Group - Psg Jun 2016 - Mar 2017
    Dallas, Texas, Us
    • Perform complete financial evaluation of PBM proposals from procurements, renewals, market checks, and other ad-hoc projects for large employer, health plan, and union-coalition clients, amounting to over $3 Billion in annual spend. • Create and run SQL queries for client data, specific to the client benefit setup for trending and financial modeling with PBM proposals.• Determine financial value for any pricing tactics deployed in PBM proposals and accounting for them in financial evaluations. • Prepare financial comparisons using complex pricing models. • Communicate with incumbent PBM and PBM bidders to ensure that all aspects of current client setup and PBM proposals are accurately captured. • Communications with client, including status updates, weekly calls, and emails as necessary.• Create presentation of financial results of project and present to client and stakeholders, including discussions on next steps, and proposed negotiation strategies.• Perform extensive redlining of PBM draft contracts and negotiation with selected PBM to ensure all aspects of financial proposal are incorporated into the final contract.• Peer review models of other financial consultants within organization.• Collaborate internally for broader strategies and improvements to overall process for future projects.
  • Willis Towers Watson
    Financial Consultant / Pharmacy Project Manager
    Willis Towers Watson Jan 2014 - Jun 2016
    London, England, Gb
    Pharmacy Financial Consultant responsible for PBM procurements, qualitative and quantitative evaluation of RFPs, performing market checks, financial analysis and consulting, team management, budgeting hours and resources, and client account management.• Initiate, oversee, and actively participate in client project activities including, financial benchmarking of their current PBM contract, conduct market checks, renewals, procurements, and other ad-hoc projects to support clients’ benefits programs. Responsible for client, internal Willis Towers Watson, and vendor communications, creating the RFP questionnaire, evaluation of proposals. • Present detailed results of each stage of a project to clients, and agree on next steps and negotiation strategy. • Perform financial analyses for pharmacy pricing proposals.• Peer review models completed by analysts and senior analysts for accuracy and provide feedback to analysts to continuously improve their knowledge and skillset. • Led multiple initiatives for Willis Towers Watson’s Pharmacy Financial & Actuarial COE to enhance efficiencies, saving time for initial entry of PBM pricing proposals and peer reviews, reducing follow-ups with vendors, and reducing errors in modeling proposals. • Developed pricing models and studies using client data from WTW’s data warehouse to account for the impact of various PBM pricing strategies and adjust for the pricing tactics so that deals can be compared on an apples-to-apples basis. • Developed financial assumptions, including BoB and client-specific trends on a granular basis for next five years to apply to client data in WTW’s models.• Lead vendor negotiations, lead best and final requests, and attend finalist meetings with clients and vendors. • Perform in-depth contract review and negotiations of PBM contracts and amendments to ensure that all terms agreed to during the proposal process are incorporated into the contract/amendments.
  • Hertz
    Fleet Finance Manager
    Hertz Apr 2013 - Apr 2013
    Estero, Fl, Us
    My previous position was as a Finance Manager at Hertz at their headquarters responsible for key performance metrics for planning and analysis in their equipment rental division. I left due to the news that they were relocating headquarters to Florida. -Support the VP Fleet Operations and Sr. Director of Re-Marketing in financial metrics and analytics for annual dispositions of approximately $285MM of assets.-Manage and development of the Re-Marketing reporting package (P&L and KPIs).-Lead all analytics for the Re-Marketing product line.-Maintain Optimal Channel Mix (Retail, Export, Wholesale, MFS, Auction).-Lead the Pricing Analytics and strategy-Create competitive pricing analysis (leveraging external data and competitive intelligence).-Prepare Gain/Loss analysis.-Generate scenarios, analyses, and recommendations for the Re-Marketing product line.-Provide analysis to forecast holding cost and contribution at the model level, including: Forecasted Residual Values, Fleet Operating Costs, Operational Constraints, Capitalized Costs.-Develop and maintain reporting for execution of Re-Marketing product line.-Prepare EVA analysis for fleet decisions (product purchases, lease vs buy, reconditioning, etc)-Prepare ad hoc reports
  • Express Scripts
    Senior Financial Analyst
    Express Scripts Sep 2012 - Mar 2013
    St. Louis, Mo, Us
    Account Management, Client Facing, Senior Financial Analyst in Commercial Division • Manage all financial sales and analytics for numerous Fortune 500 clients, coalition clients, and government clients, representing total revenue in excess of $1.6 Billion and over 1.6 million lives.• Model and design client specific prescription drug benefit packages based upon company products, clients’ goals and philosophies, and industry trends to control prescription drug costs and improve health plan performance.• Responsible for marketing Express Scripts' Core Pharmacy products through consultative selling to grow Express Scripts' profitability.• Perform in-depth financial, sales, and marketing analyses to identify client specific trends, explain past prescription plan performance, and recommend improvement opportunities to control costs and improve patient adherence.• Travel to client headquarters to present financial results and recommendations to executive boards, trustees, or director of benefits, regarding the client’s prescription drug plan.• Present financial results at coalition meetings to over 70 people, representing over 25 clients. • Provide analytical, quantitative, and financial cost modeling in support of Account Management and client objectives.• Perform extensive forecasting of clients' drug spend to aid in their budgeting. • Assist in pricing and renewals/RFPs to retain clients and profitability. • Aid in training new hires and preparing them to present to clients. • Create new financial templates to simplify recurring reporting with higher efficiency. • Create new models to assist with internal and external objectives.
  • Express Scripts
    Financial Analyst
    Express Scripts Sep 2010 - Aug 2012
    St. Louis, Mo, Us
    Account Management, Client Facing, Financial Analyst in Commercial Division
  • Medco
    Financial Analyst
    Medco Sep 2010 - Apr 2012
    Acquired by Express Scripts. Account Management, Client Facing, Financial Analyst in Employer Accounts Group.
  • Medco
    Financial Analyst
    Medco Sep 2010 - Apr 2012
    Acquired by Express Scripts. Account Management, Client Facing Financial Analyst in Employer Accounts Group
  • Us Cable
    Accounting Temp (Through Accountemps)
    Us Cable Sep 2009 - Jan 2010
    • Became proficient in using Sage MAS 500 to process vouchers, make journal entries, update cashbook, process check runs, and prepare for audits for various entities owned by U.S. Cable.
  • I365 A Seagate Company
    Enterprise Sales
    I365 A Seagate Company Apr 2008 - Feb 2009
    Us
    • Reported to Director of Sales USA, Canada, Acting VP East. Worked with members of the Enterprise Sales Team in the Eastern US & Canada tocoordinate marketing campaigns through direct mailers, email blasts, & cold calls. Coordinated marketing efforts with headquarters in Californiaand other regions of the US.• Researched compliance laws for data backup, archiving, and recovery for different verticals (mostly financial, legal, and healthcare)• Set up meetings for members of sales team through cold calls and various direct marketing activities which led to over $400,000 of potential new business.• Participated in presentations at meetings with potential clients.• Researched competitors to formulate comparisons between EVault’s offerings and competitors’ offerings and make recommendations• Instituted new financial tracking report system and updated forecast/outlook and order summary sheets daily to reflect new opportunities and completedsales. Created reports for Director of Sales USA, Canada, Acting VP East.• Reported to weekly team meetings and presented my work to the Director of Sales and Enterprise Sales Team.

Scott Gavin Skills

Financial Analysis Forecasting Analysis Strategy Management Finance Healthcare Healthcare Finance Analytics Prescription Benefits Modeling Microsoft Office Budgets Bi Query Obiee Account Management Process Improvement Competitive Analysis Financial Modeling Ms Office Suite Variance Analysis Strategic Planning Contract Negotiation Leadership Financial Reporting Employee Benefits Managed Care Microsoft Excel Business Analysis Business Planning Corporate Finance Sales Marketing New Business Development Pricing Managerial Finance Data Analysis Essbase Investments Outlook Access Financial Forecasting Pharmaceutical Industry Cold Calling Selling Non Profits Direct Marketing Project Management Business Strategy Teradata Teradata Data Warehouse Actuarial Science Talent Management Risk Management Valuation Hr Consulting Financial Risk Consulting Insurance Human Resources Organizational Development Defined Benefit Pensions Pension Administration

Scott Gavin Education Details

  • Fordham University
    Fordham University
    Economics
  • Indian Hills High School
    Indian Hills High School

Frequently Asked Questions about Scott Gavin

What company does Scott Gavin work for?

Scott Gavin works for Prime Therapeutics

What is Scott Gavin's role at the current company?

Scott Gavin's current role is AVP Pricing & Underwriting at Prime Therapeutics.

What is Scott Gavin's email address?

Scott Gavin's email address is ga****@****lth.com

What is Scott Gavin's direct phone number?

Scott Gavin's direct phone number is +163073*****

What schools did Scott Gavin attend?

Scott Gavin attended Fordham University, Indian Hills High School.

What are some of Scott Gavin's interests?

Scott Gavin has interest in Cars, Economics, Sports, Entrepreneurial Studies, Electronics, Investments, Finance, Music, See {7}+see Less, Pharmaceuticals.

What skills is Scott Gavin known for?

Scott Gavin has skills like Financial Analysis, Forecasting, Analysis, Strategy, Management, Finance, Healthcare, Healthcare Finance, Analytics, Prescription Benefits Modeling, Microsoft Office, Budgets.

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