Todd Borowski, Mba

Todd Borowski, Mba Email and Phone Number

Finance Executive | Fortune 20 Healthcare Company Experience | MBA | Pricing Strategy & Contract Negotiation Expert | Trusted Advisor to C-Suite | Photo Artist @ AccessHope
Todd Borowski, Mba's Location
Lake Forest, California, United States, United States
Todd Borowski, Mba's Contact Details

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About Todd Borowski, Mba

Partnering with executives and key stakeholders as a healthcare finance leader to strategize and operationalize plans that deliver profit margin increases through data-driven decision-making is the value I have created throughout my career. My experiences include working in Fortune 20, publicly traded companies like Elevance and UnitedHealth Group as a trusted advisor, delivering invaluable market insights to achieve income and profit results through sophisticated modeling, pricing, and contract negotiation strategies. I have turned around and rebuilt finance and analytics functions and teams by identifying inefficiencies, creating strategy, and directing staff to execute new processes that have improved operational integrity and transparency, achieving financial targets. To accomplish these results, I empower people and promote respect and accountability, which creates a work culture that engages employees and emphasizes high-quality outcomes.A few of my key achievements include:► Formed strategy and executed plan to reclassify data, working with the Elevance analytics team to correctly track $25B of annual drug spend against performance guarantees and ensuring 100% payment accuracy from a major, national retail pharmacy.► Created and launched innovative incentive pricing program, leveraging data and market insights to shift customer thinking from a traditional to modern approach. Achieved 10% cost savings on millions of dollars in drug spend for UnitedHealth Group / OptumRx customers who migrated to the new program.► Proactively evaluated OptumRx appeals function, assessed workload per employee, and identified process efficiencies to reduce department spending, resulting in $780K in savings and improved overall employee performance.My deep understanding of key performance indicators across healthcare finance, including the economics of drug pricing and contract negotiation strategies, sets me apart from other executives. This business knowledge, paired with my leadership competencies, my Master of Business Administration (MBA) degree from the University of Southern California, Marshall School of Business, and my passion for developing and leading people, is how I have achieved significant wins throughout my career. AREAS OF EXPERTISE:Healthcare Analytics and Modeling | Change Management | Process Improvements | Innovative Pricing Strategies | Medicare Part D / Medicaid / Commercial Networks | Team Leadership | Training and Performance Management | Budget and Cost Management | Customer Relationship Management | Cross-Functional Collaboration

Todd Borowski, Mba's Current Company Details
AccessHope

Accesshope

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Finance Executive | Fortune 20 Healthcare Company Experience | MBA | Pricing Strategy & Contract Negotiation Expert | Trusted Advisor to C-Suite | Photo Artist
Todd Borowski, Mba Work Experience Details
  • Accesshope
    Senior Director, Value Measurement And Growth Strategy
    Accesshope Aug 2024 - Present
    Duarte, Ca, Us
    At AccessHope, I lead a team, driving the development of metrics to assess and enhance the value of our cancer care solutions. I build predictive models, analyze data, and provide actionable insights that support business decisions. My role involves preparing and presenting strategic reports to senior leadership, supporting sales and product teams with analytical tools, and developing growth strategies to identify new opportunities and drive sustainable success.
  • Benecard Pbf
    Sr. Director Trade
    Benecard Pbf Feb 2024 - Jul 2024
    Bonita Springs, Fl, Us
    Managing relationships with Retail Pharmacy Network and Specialty Network vendors, tracking margins, ensuring compliance with pharmacy provider contracts, supporting Patient Assistance Programs, advising on RFPs, evaluating pricing, overseeing contract implementation, maintaining professional relationships, aiding in regulatory compliance, addressing network-related inquiries, and participating in special projects.
  • Elevance Health
    Director, Pharmacy Network Management - Formally Anthem, Inc.
    Elevance Health Feb 2022 - Oct 2023
    Indianapolis, Indiana, Us
    Reporting to the VP of finance, I was recruited to rebuild the pharmacy network management function and team. In this role, I proactively identified inefficiencies, created strategy, and hired staff to execute new processes and deploy financial models, resulting in improved operational integrity and financial results for the organization. ► Formed strategy and executed plan to reclassify data in partnership with data analytics team to correctly track $25B of annual drug spend against performance guarantees, ensuring 100% payment accuracy from CVS Health.► Increased annual savings guarantee by 230% by conducting detailed market rate assessment. Utilized data to negotiate contract and achieved agreement from CVS Health to guarantee $660M in annual savings.► Designed first-ever assessment tool to improve tracking and identify variations in performance guarantees, saving hundreds of hours in review and processing time, and delivering more timely and accurate payments.
  • Unitedhealth Group
    Senior Director, Pricing Strategy, Optumrx
    Unitedhealth Group Jan 2017 - Jun 2019
    Us
    As senior director, I guided the team to gather and review market trends, design pharmacy pricing programs, and formulate data-driven pricing models aligned with organizational goals and market demands for the underwriting of alternative risk products. An important part of my role was to collaborate with cross-functional teams, including sales, marketing, product development, and client management, to implement innovative pricing programs in support of effective contract negotiations and revenue growth efforts. ► Created and launched innovative incentive pricing program, leveraging data and market insights to shift customer thinking from a traditional to modern approach. Achieved 10% cost savings on millions of dollars in drug spend for customers who migrated to the new program.► Shifted customers’ perceptions of existing pricing programs to new approach by partnering with marketing and product teams to create compelling pitch based on data and market findings.► Monitored and evaluated performance of pricing strategies, maximizing profitability through data-driven assessments.► Evaluated and restructured cash card team resources to improve operating efficiencies by 50%, optimizing employee productivity.
  • Unitedhealth Group
    Senior Director, Pharmacy Economics, Optumrx
    Unitedhealth Group 2017 - 2019
    Us
    Based on my exceptional reputation and stellar performance record of leading teams to achieve revenue and profit results, I was recruited back to UHG and OptumRx. My responsibilities were comprised of directing regulatory pricing, MAC, Cash Card, and Appeals teams consisting of 30+ employees. I created and executed plans to achieve optimal performance and results across client pricing, pharmacy reimbursement, discount card, appeals, and payor regulations initiatives, and I managed a dedicated IT project team to achieve process automation efforts.► Evaluated appeals function, assessed workload per employee, and identified process efficiencies to reduce department spending, resulting in $780K in savings and improved overall employee performance.► Partnered with IT team to achieve digitalization strategy by creating appeals platform equipped to process 3M appeals annually.► Directed cross-functional team of experts to construct pricing automation platform, generating savings of $100M per year.► Evaluated and restructured cash card team resources to improve operating efficiencies by 50%, optimizing employee productivity.
  • Apria Healthcare
    Vice President, Medical Economics
    Apria Healthcare Dec 2015 - Jan 2017
    Indianapolis, Indiana, Us
    Reporting to the CFO, I was a trusted expert in overseeing a sophisticated and skilled financial modeling team to uncover opportunities for profitability improvement. I partnered with cross-functional teams as a strategic advisor on payor contract negotiations and designed and implemented analytical tools and dashboards to monitor key performance indicators (KPIs). Regularly, I prepared reports and presented financial results to the executive leadership team and board of directors.► Built new contracts dashboard and implemented automated system to improve turnaround timelines and communication updates with division leaders. Improved contract turnaround time from three weeks to two days.► Established utilization management system for largest product category to track pricing across payors. Utilized data to improve negotiation strategy across multiple product categories, resulting in 10% increase in revenue.
  • Unitedhealth Group
    Senior Director, Pharmacy Network Contracting, Optumrx
    Unitedhealth Group Sep 2014 - Dec 2015
    Us
    In this role, I led a 20-member team with four direct reports to manage 67K+ retail pharmacy relationships. I negotiated and approved contracts for Medicare Part D, Medicaid, and commercial networks. I also worked in partnership with the sales team and clients to create innovative solutions that lowered prescription drug costs for providers and patients.► Reduced drug costs by $300K per year by designing and launching new pricing strategy. Created Jefferson network to strategically include/exclude pharmacy providers, influencing competitive drug costs.► Led contract negotiation meetings with pharmacy providers to set multi-year contracts by managing and minimizing rate change requests and establishing mutually beneficial relationships.
  • Unitedhealth Group
    Sr. Manager, Pharmacy Network Pricing, Strategy & Analytics, Optimum Rx
    Unitedhealth Group 2012 - Sep 2014
    Us
  • Toshiba America Information Systems
    Senior Analyst, Business Development
    Toshiba America Information Systems Mar 2005 - May 2009
    Minato-Ku, Tokyo, Jp
  • Western Asset Management
    Senior Asset Valuation Analyst
    Western Asset Management Nov 1998 - Nov 2004
    Pasadena, California, Us
  • Western Asset Management
    Portfolio Accountant
    Western Asset Management Dec 1996 - Nov 1998
    Pasadena, California, Us
  • Griffin Financial Services Group
    Investment Services Officer
    Griffin Financial Services Group Mar 1995 - Dec 1996
    St. Louis, Mo, Us
  • Smith Barney
    Client Service Assistant
    Smith Barney Jan 1993 - Mar 1995
    New York, Ny, Us

Todd Borowski, Mba Education Details

  • Usc Marshall School Of Business
    Usc Marshall School Of Business
    Corporate Finance And Strategic Planning
  • California State University, Fullerton
    California State University, Fullerton
    Business Administration

Frequently Asked Questions about Todd Borowski, Mba

What company does Todd Borowski, Mba work for?

Todd Borowski, Mba works for Accesshope

What is Todd Borowski, Mba's role at the current company?

Todd Borowski, Mba's current role is Finance Executive | Fortune 20 Healthcare Company Experience | MBA | Pricing Strategy & Contract Negotiation Expert | Trusted Advisor to C-Suite | Photo Artist.

What is Todd Borowski, Mba's email address?

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What is Todd Borowski, Mba's direct phone number?

Todd Borowski, Mba's direct phone number is (206) 876*****

What schools did Todd Borowski, Mba attend?

Todd Borowski, Mba attended Usc Marshall School Of Business, California State University, Fullerton.

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