CareCentrix is an Industry leader in centering the home for post-acute and aging patient care by managing the service pathways, therapies, and resources that enable patients to heal and age in the home, producing better outcomes, and reducing overall costs through partnerships with providers and payers.• Developed and managed the product portfolio covering the entire continuum of integrated post-acute care, including transition management from acute care to and from Skilled… Show more CareCentrix is an Industry leader in centering the home for post-acute and aging patient care by managing the service pathways, therapies, and resources that enable patients to heal and age in the home, producing better outcomes, and reducing overall costs through partnerships with providers and payers.• Developed and managed the product portfolio covering the entire continuum of integrated post-acute care, including transition management from acute care to and from Skilled Nursing Facilities (SNFs), Durable Medical Equipment (DME), home nursing care, home infusion therapy, and home sleep testing/management.• Member of the executive management team to lead a private equity (PE) turnaround within five years by successfully growing customer base, doubling revenue from $500M to $1B while stabilizing the base.• Led cross-functional strategic initiatives focused on product standardization, business and service transformation, and a structured implementation process to drive efficiencies, delivering a 20% decrease in SGA operations while improving KPI’s for customer service, member satisfaction, and quality of care. • Led the design and development of the Post Acute Care (PAC) product for the successful inaugural client launch in 2017, and the first multi-state implementation in 2019 covering 17 markets for a national health plan. Show less

Medco was a leader in the Pharmacy Benefit Management (PBM) industry in delivering drug prescription healthcare and management services to a diverse customer base that included employers, health plans, unions, municipalities and government agencies. • Led new business development initiatives, New Market's strategic product portfolio (P&L > $200M), the Merger Integration/Joint Venture Office for domestic and international business opportunities, legislative and regulatory pipeline… Show more Medco was a leader in the Pharmacy Benefit Management (PBM) industry in delivering drug prescription healthcare and management services to a diverse customer base that included employers, health plans, unions, municipalities and government agencies. • Led new business development initiatives, New Market's strategic product portfolio (P&L > $200M), the Merger Integration/Joint Venture Office for domestic and international business opportunities, legislative and regulatory pipeline to drive compliance strategy and solutions, and core PBM complex benefit capabilities for customer groups and clients. • Led rational product design development and management ($50M annual capital budget) in the delivery of innovative market offerings and Federal and State regulatory compliance solutions, including Health Care Reform. Show less

• Led the design and development of the portfolio of Medicare Part D products, launched 1/1/2006. This comprehensive product portfolio paved the way for Medco to attain the first 5-star rating in 2008 for a National Medicare prescription drug program from the Centers for Medicare and Medicaid Services (CMS), and was the cornerstone for Medco’s new Medicare Business Unit launched in 2006. The Medicare Business unit grew from zero revenue to $22B by 2012, providing the highest profit margin… Show more • Led the design and development of the portfolio of Medicare Part D products, launched 1/1/2006. This comprehensive product portfolio paved the way for Medco to attain the first 5-star rating in 2008 for a National Medicare prescription drug program from the Centers for Medicare and Medicaid Services (CMS), and was the cornerstone for Medco’s new Medicare Business Unit launched in 2006. The Medicare Business unit grew from zero revenue to $22B by 2012, providing the highest profit margin across all product/business lines within Medco.• Designed and Initiated a comprehensive Legislative and Regulatory Pipeline process to define business strategies to achieve compliance with Federal and State Regulations affecting Medco as a national PBM and a home-delivery pharmacy, along with all clients’ pharmacy programs. • Delivered consulting services to account teams, clients, and internal business owners on complex and innovative benefit designs to maintain industry leadership with evolving trends in pharmacy benefit management. Show less

• Led the prioritization and strategic development of managed care capabilities, increasing client and member satisfaction and growth in the managed care market segment.• Structured and recruited the client-facing, clinical organization to support existing clients and prospects on a national scale; developed infrastructure and processes to assure consistency and integrity among the pharmacy professionals in the newly created Clinical Account Executive (CAE) role.• Integrated the… Show more • Led the prioritization and strategic development of managed care capabilities, increasing client and member satisfaction and growth in the managed care market segment.• Structured and recruited the client-facing, clinical organization to support existing clients and prospects on a national scale; developed infrastructure and processes to assure consistency and integrity among the pharmacy professionals in the newly created Clinical Account Executive (CAE) role.• Integrated the Financial Analytical Group to efficiently leverage knowledge experts for all client management and sales activities.• Defined, socialized and developed Medco’s first integrated Annual Review for Medco clients, providing a comprehensive business, clinical and financial analysis of all aspects of a client’s pharmacy benefit program. Show less

PCS Health Systems was a pharmacy benefit manager, providing drug and health management solutions for employers, health plans and other organizations that pay for healthcare products and services to improve the health of patients and help reduce health care costs.Built and led the Managed Care Plans business unit in achieving growth and profitability goals, led the Client Management Teams and operations of the Clinical Management Services division that serviced all customer segments and… Show more PCS Health Systems was a pharmacy benefit manager, providing drug and health management solutions for employers, health plans and other organizations that pay for healthcare products and services to improve the health of patients and help reduce health care costs.Built and led the Managed Care Plans business unit in achieving growth and profitability goals, led the Client Management Teams and operations of the Clinical Management Services division that serviced all customer segments and sales, represented managed care client and market needs with internal product and client/member service areas to define and prioritize development needs. Show less