Promotion from Amber Specialty Pharmacy to its parent's company Hy-Vee, Inc. Responsibility Includes- MED D negotiations with PBM/PBAs, cash/co-pay/discount cards, government and commercial payers. 340B program oversight including; direct relationships and negotiations with Contracted Entities, Third Party Processors, Manufacturers, ESP and coalitions.

Proactively assist with the identification, research and vetting of potential managed care (commercial and government payers) contracts and represent the organization as a subject matter expert for 340B, HIT and SP.Prospect and contact appropriate business executives to obtain appointments, analyze business needs, and manage the sales process for 340B, HIT and SP.Responsible for the opportunity evaluation process by engaging cross functional teams in operations, finance, legal, regulatory and compliance, IT, marketing, and others determined.Provide essential QBR's and annual business reviews to current managed care clientsPreparation of budgets, business projects, and business planning including sales, marketing, operations for the production of organization's capabilities, demonstrations and collateral materials to present at in-person client meetings, local, regional and national trade shows, conferences and exhibits.Maintain insight to the development of industrial trends, legislative and regulatory changes through participation in professional groups, associations and organizations.

Expertise in managed care (commercial and government), specialty pharmacy, 340B, PBM, and Pharma (CNPR Cert# 667392020), AIC/IVC; while bringing thoughtful insights on the dynamic relationships (and competitive analysis) within the US healthcare delivery systems. Leads projects for credentialing and contracting P2P, B2B and client-payer relationships in the healthcare industry.

• Lead a strategic enterprise sales and marketing team that supports specialty pharmacy profitability objectives focused on the pharmacy segment.• Engage with health systems to help them understand the benefits of developing high quality in-house specialty pharmacy services that include SaaS patient communication platforms.• Lead initiatives to better understand community pharmacy market trends, customer profiles, sales strategies, customer challenges and opportunities to ensure the proper positioning and expansion of company offerings, with a focus on moving from traditional media to digital tools.• Drive utilization of strategic marketing resources at business-unit level through leadership and change management, resulting in enterprise-wide engagement with brand activities and marketing tools.• Analyze the marketplace and formulate marketing strategies including customer segmentation, customer experience and service offerings.• Develop marketing campaigns using digital tools; including email campaigns and literature design.

• Managed a team of 3 direct reports specializing in the processing of request for proposals (RFP), credentialing and contracting.• Credentialed, contracted and conducted in-person audits for 4 Paragon locations providing specialty pharmaceuticals to their pharmacy benefit management (PBM) members.• Instrumental in closing DST/ARGUS to be exclusive provider of Hemophilic products.• Implemented raised administrate rates for infusion centers from health plan allowable to Medicaid Fee-for-Service (FFS).• Collected outstanding claims totaling more than $500K from Medicaid and Blue Care SNP.• Developed protocol and processes for single and aggregate drug reimbursement reviews and tools to obtain better negotiated pricing from manufacturers/wholesalers, payers and providers.• Lobbied on legislation and regulatory issues and successfully passed all quarterly and annual audits.• Expanded Government network access to: TMHP, Medicaid FFS, Medicare part B and DMEPOS.

• Managed provider identification for pharmacy and medical Medicaid, Medicare part B, DMEPOS and part D compliance. Developed business from government payer clients through custom presentations.• Introduced Patient Protection and Affordable Care Act provisions to Exchanges and ACOs. Marketed new customer sales while retaining existing client base.• Developed RFP submittal for Florida Medicaid Hemophilia program and DMEPOS recompete Round 1 competitive bid. Served as Designated Lead Project Manager for bid processes.• Worked in conjunction with BioRx reimbursement department to collect outstanding debt from IL HFS/Medicaid going back to 2007.• Renegotiated pricing terms with Pharmacy Benefit Managers for higher AAC reimbursement rates.• Rolled out Oncology and Hepatitis C program with presentations to Pharmacy Administrators representing Medicaid in Texas, North Carolina, Ohio and Michigan.• Lobbied to reverse decreased government payers reimbursement rates.

• Provided high-level leadership and support to secure/negotiate contracts, develop client relations, provide customer service, and implement field marketing initiatives. • Performed prospecting as well as generated referral sales, installing educational and preventive materials at physician groups, clinics, urgent care centers and large provider practices. • Directly interfaced with Chief Medical Directors, Physicians, Nurse Practitioners and Office Managers. Educating providers regarding inventive patient care solutions.

• Performed cold call sales for new client development utilizing network contacts to reach 735,000 new customers in Florida and Texas for the Amerigroup.• Responsible for selling into “C” site levels at Managed Care Organization, Managed Medicaid and Medicare and FFS Medicaid.• Successful at turning cold calls (no leads provided) into opportunities with conference calls, WebEx meetings and in-person meetings. Member of NCHICA and HIMSS (national level).

National Account Executive - managed Medicaid (2006 to 2009)• Developed contracts and negotiations for all product lines for Accredo Therapeutics, Hemophilia Health Services and Nova Factor (150 drug products).• Responsible for 470 managed Medicaid and Medicare (managed and Advantage) accounts nationwide.• Achieved 104% of actual to goal for Q2 2008 revenue targets.• Obtained and installed contracts for 20M members with 28 health plans - $100M territory.• Assisted in collecting $14.5M in outstanding claims. Account Manager (2002 to 2006)• Responsible for marketing and sales of all Hemophilia Health Services product lines while negotiating contracts and supporting contract implementations.• Achieved 99.6% of revenue goal of $14.6M in 4 state territory and 104% of gross profit in 2005.• Achieved YTD goal (FY 2003) - 107% of plan revenue goal, for a $15M territory. • Territorial growth of projected revenue for FY 2005 - 97.5% of $50.9M through April 2005; complete FY 2005, AHG at 100% of $66M annual target.