Travis Tolley Email & Phone Number

Draper, Ut, Us

Salt Lake City, Ut

➤ Established strategic objectives, set budgets, developed, implemented, and oversaw programs including processes to reduce health costs, enhance quality, and create operational efficiencies.➤ Provided leadership and oversight of all clinical programs while providing clinical supervision to core clinical staff, developing and implanting goals including objectives for medical, pharmacy, and wellness related programs.➤ Oversaw the functions of the Chief Medical Officer, Medical Director, Care Management Director, and Pharmacy Director and ensured clinical policies and processes were aligned with accepted clinical practice.➤ Reduced the existing preauthorization volume, shortened processing time, avoided $72M in costs, and increased transparency for members and providers through leading the analysis and restructuring of preauthorization practices.➤ Assisted in legislative activities including responding to legislative audits and implementing legislative pilots.➤ Established policies to improve quality, cost-effectiveness of care and service, established evidence and value thresholds by using available medical, economic sources, and established policies to support those thresholds.➤ Built and maintained positive working relationships through effective communication, performance improvement, and teamwork efforts while supporting the organization's mission statement and core values.➤ Instituted departmental goals including objectives that are aligned PEHP's mission and developed programs to identify and direct away from substandard or costly care toward high performing and less costly care.➤ Performed day-to-day management and supervisory duties by employing effective motivational and leadership techniques, assigned daily workloads while ensuring adequate staffing and departmental coverage.

Salt Lake City, Ut

➤ Directed nursing, pharmacy services, cost containment, quality assurance, and customer service as well as developed and implemented care policies, processes with procedures to enhance efficiency and effectiveness of clinical services.➤ Created strategic objectives and budgets for pharmacy and nursing programs as well as reviewed management including operational reports with Clinical Operation Director to identify and address deviations from the budget or goals.➤ Designed and implemented a referral program for chronic opioid use that required heavy users to see a specialist that resulted in reduced opioid cost and volume of units dispensed 2 years before CDC recommendations.➤ Led and managed overall operational functions while creating a work environment that embraced continues improvement while acting as the primary change agent within the clinical organization.➤ Managed a team of Clinical Services Managers and Team Leads to achieve organizational objectives including client production targets for quality products and services to members with a 100% commitment to performance management.➤ Determined required staffing resources and knowledge and skill levels required for the member population to be served.➤ Collaborated with leadership to identify any obstacles to providing quality member care and ensure adherence to goals, objectives, regulatory compliance, policies, or procedures, and implemented needed changes and improvements.➤ Achieved higher utilization of preferred products and increased rebate collection through leading the design and implementation of an indication-based formulary for specialty drugs.➤ Instituted a copay accumulator program that achieved better results than market specialty drug trends for 6 years.

Salt Lake City, Ut

➤ Oversaw all pharmacy-related activities for utilization management, cost containment, quality assurance, and negotiating and managing contracts for pharmaceutical services, and supervising staff members.➤ Directed management of the formulary including prior authorization, quantity limits, managed pharmacy and therapeutics meetings, and developed processes to enhance efficiency and effectiveness of pharmacy operations.➤ Lowered plan costs by designing, implementing, and monitoring a value-based diabetes program that lowered the cost of insulin and test strips while increasing insulin and test strip availability.➤ Served as the liaison between PBM, drug manufacturers, and PEHP and led changes to the formulary and PBM that produced a negative trend by developing a strategic formulary focused on minimizing low value drugs.➤ Delivered year-over-year multi-million-dollar formulary cost savings by developing and maintaining high functioning teams with a focus on individual development in support of enterprise of initiatives.➤ Used integrated clinical programs to deliver a differentiated customer experience, improving efficiency of care, enhancing the company's market position and financial performance while strengthening organizational health.➤ Served as the primary liaison to other departments for strategic planning and coordination of activities between pharmacy markets, pharmaceutical contracting, systems support, sales, marketing, finance, and corporate compliance.➤ Simplified complex tasks and requirements into actionable and auditable processes while maximizing resources and reducing opportunities for errors or non-compliance by rapidly assessing situations to find effective solutions.➤ Drove formulary management and clinical programs by setting the clinical direction by which pharmacy markets will negotiate and contract with pharmaceutical manufacturers for rebates and price concessions.

Salt Lake City, Ut

➤ Managed employees involved with pharmacy customer service, prior authorization, and appeals including setting the strategic direction for development of all utilization management programs affecting prescription drug benefits,.➤ Provided pharmaceutical consultation for utilization management, cost containment, and drug-related quality improvement activities as well as created and implemented 80 prior authorization policies.➤ Drove the strategic direction of the clinical pharmacy area, directed financial goals, and realized a negative pharmacy spending trend in 2009 and 2010 through implementing utilization management and cost-containment initiatives.➤ Developed and expanded the specialty pharmacy program including clinical and financial management of the program and vendors for pharmacy or medical benefits while overseeing enterprise-wide medical management integration.➤ Established an internal P&T Committee, wrote, and implemented policies, practices associated with P&T, created P&T materials, and actively participated in Pharmacy and Therapeutics Committee meetings.➤ Directed the management of the company's pharmacy and therapeutics committee to ensure adequate and appropriate representation or participation across all lines of the business for both medical and prescription drug benefits.➤ Set the strategic direction for the administration of pharmacy benefits and utilization management programs using continuous quality improvement while ensuring all regulatory and compliance guidelines were met.➤ Created policies based on current literature and local practice patterns for all drugs requiring preauthorization as well as assisted in the development and presentation of written education for Public Employee Health Program members.

Murray, Ut

➤ Led 15 full-time employees in adult internal medicine, neuro rehabilitation, psychology, women’s services, level III neonatal intensive care, adult oncology, bone marrow transplants, and the ambulatory clinic. ➤ Coordinated pharmacy services with unit nursing and physician leadership while providing education to the pharmacists, physicians, nurses, and students.➤ Developed standard operating procedures, including anticoagulation management, adverse drug event reporting, transferring medication, medication return, drug shortages, patient counseling, and combination products.➤ Implemented bedside barcode scanning, provided drug information for physicians and nurses, and participated in codes and Joint Commission.➤ Led a multidisciplinary group in the development and implementation of a pharmacist managed glucose management system.➤ Transitioned to a Staff Pharmacist in 2008 and monitored patients, renal dosing, kinetic reviews, drug information, medication reconciliation, patient counseling, precepted residents, entered orders, and educated medical staff.

Murray, Ut –

Doctor Of Pharmacy (Pharm.D.)

Activities and Societies: Cum Laude

General Studies And Pharmacy Prerequisites

General Studies