Co-owner of Third Wheel Brewing - Microbrewery and Taproom in St. Peters, MissouriMaking great beer and forging community connections.

Responsible for oversight of clinical services, including strategic initiatives, development, implementation and management of clinical programs, formulary management, and management of clinical account executive and prior authorization teams for commercial PBM line of business.

Served as clinical advisor to workers’ compensation clients, developed formularies, implemented and managed clinical programs in compliance with state and federal laws. • Maintained ongoing relationships with $100M+ book of WC clients including employers, third party administrators, state insurance funds, municipalities, and insurance carriers. • Led up-sell, implementation, and monitoring of clinical programs through consultative methods in accordance with client business plans.• Participated in Finalist Team presentations, client presentations, and industry conferences. • Collaborated with internal Clinical, Research, and Product teams to design research studies and clinical and cost management programs for workers’ compensation pharmacy benefit management division.• Demonstrated that 65% of client’s savings were due to formulary management and clinical programs, and created a process to capture these previously undocumented savings. Trained sales and account management on this new method of tracking savings to help win and retain business.• Decreased client compound drug costs by 57-95% within one quarter of implementation by creating a multifaceted program to manage use of expensive and questionably effective compounded medications that are a significant cost driver for workers’ compensation clients.• Converted 19.8% of targeted prescriptions to lower cost therapeutically equivalent medication by conceiving a program to encourage use of therapeutic alternatives and collaborating with the Product team to develop and implement the program. • Created content and provided training for sales team, account managers, and clients.• Served as clinical advisor to clients working with legislative committees drafting regulations involving narcotics, compound drug use, and other areas of concern.• Worked with internal partners to develop materials for annual drug trend report, new proposals, pricing, renewals, and client presentations

Supervised clinical pharmacy services for 772-bed hospital system• Established QA process to identify opportunities for improvement and implemented programs to improve safety, costs, and medication usage patterns.• Protocol and procedure development, including medication safety and compliance with JCAHO standards.• Assisted with Meditech computer system implementation and training• Improved tracking and reporting of pharmacist interventions• Revised formulary, including tracking of purchase and utilization trends and development of therapeutic interchange process

Directed all pharmacy operations in a 54 bed long-term acute care hospital,• Reduced per patient drug costs from highest to second lowest in Dubuis network of 14 hospitals and maintained costs at this level for over two years.• Coordinated move of pharmacy during hospital relocation and growth from 20 to 54 beds, and maintained pharmacy operations during the year it took for the pharmacy and USP 797 compliant clean room to be constructed.• Implemented comprehensive programs for high-cost drugs, antibiotic surveillance, therapeutic interchange, clinical monitoring, pre-admission assessment, medication reconciliation, JCAHO preparation, and medication safety.• Made improvements to medication distribution system, HBOC, and Pyxis systems.• Participated in corporate medication safety team and rollout of system-wide medication safety initiative.

Supervised clinical, distributive, and administrative functions for Critical Care Satellite Pharmacy, which covered 90 beds including critical care, telemetry, labor and delivery, emergency, dialysis, and oncology. • Day-to-day operational responsibility for satellite clinical and distributive functions.• Participation in P&T Committee, Cardiac Quality Care Team, SSM Network Congestive Heart Failure Collaborative, JCAHO preparation and surveys.• Protocol development, implementation, and monitoring, Code 4 training and participation.• Implemented clinical programs for ICU rounds, pharmacokinetic dosing services, renal dosage adjustment programs, chemotherapy error prevention, and nutritional support and standardized TPN.• Provided training for pharmacy staff, physician, nursing, lab and HIM staff.• Worked with bioMerieux in development of TheraTrac antibiotic surveillance monitoring product.• Supervised 15-20 pharmacists, pharmacy students, and technicians, providing coaching, counseling, and evaluations