Stephen Sadowski Email & Phone Number

Mason, OH

• Senior Director of Anthem Benefit Operations 2015-PresentExpress Scripts largest client making up 14% of the business. Charged to eliminate member and client abrasions.
• Met clients’ requirements (expectations) for the delivery and maintenance of 45,000 different designs for prescription plans. Set up structures including billing, copays, and cost shares. On time. Met performance.
• Put together with the cooperation of the client a joint accountability system, and status reporting. Changed the overall relationship to be more positive and trusting.Senior Director of Strategic Initiatives.
• Oversight of the movement of 17 million lives from NextRx to the Express Scripts adjudication system in the support of the purchase of the WellPoint PBM by Express Scripts.
• Created criteria and plan to reach an adjudication system decision during the Express Scripts/Medco integration.
• Defined attributes of over 100,000 benefit structures to create a detailed plan consolidating PBM business to one platform.

Mason, OH

• Managed an eight-member operations team in five facilities nationwide totaling 160 employees within claims operations.
• Business owner of two pharmacy claims adjudication systems. Responsible for benefit administration, system administration, formulary management, paper claims, telephony, IVR system, call center technology, auditing.
• Implemented companywide policies and procedures, direct client communication, and vendor relations and contracting.

Erlanger, KY

• Hired to start the Remke Markets' pharmacy program. Responsible for all aspects of pharmacy for the company.
• Designed physical layout of 5 pharmacies, evaluated and chose pharmacy computer software. Negotiated contracts with pharmacy wholesaler, switch company, and handled all third parties contracting.
• Handled all licensing of the pharmacies with State Board of Pharmacy, DEA, and NCPDP. Responsible for company design of HIPPA policies and procedures and functioned as compliance officer.
• Wrote pharmacy sales and gross profit budgets and inventory control.

Cincinnati, OH

• Managed all pharmacy personnel (pharmacists and interns) for the Cincinnati marketing area consisting of over 80 stores in three states. Responsibilities included all hiring, placement, and evaluation of personnel.
• Handled weekly sales of $6,000,000, ad plans, inventory goals, and pharmacy gross profit and evaluation and marketing of new products.
• Led refill reminder program for marketing area.
• Instituted pharmacist-run immunization program and started Travel Vaccine Program.