Managed care pharmacy executive with insight and vision to deliver high performance pharmacy management with financial conservatism. Has provided Innovative and dynamic leadership in pharmacy management for over 25 years using broad work experiences in State affiliated Medicaid, Medicare MA/PD/SNP programs, Resource for state regulations & CMS regulations Commercial self-insured, PPO and HMO plans with drug benefit programs. Home infusion, rebate contracting, provider agreements, Specialty drug contracting pricing Network development, claims processing and system analysis. Strong analytical capacity for analysis of claims Healthcare reimbursement process, contracting Formulary development, pharmacy and therapeutics committee details Strong analytical, strong reimbursement, strong financial understanding, Presentation skills and ability to convey complex issues to audiences. Possesses vision, excellent skills with people motivation, management, and mentoring and task team attainment of goals. A seasoned professional with business expertise to manage departments for efficient and accurate results. Competent and knowledgeable for attaining high service quality. Organized and deliberate in execution of tasks to achieve desired goals, but aware of the value of human capital, work ethics and social challenges for effective team building. Astute with knowledge of pharmacy services deployment, supply and procedural environments that are complex to the nature of pharmacy management in a managed care setting. Savvy to medical business dynamics with experience with most area of managed care medical services. Strong negotiations skills with suppliers Plans and executes clinical and non-clinical programs to deliver desired outcomes. E-mail - tomkaye@rxman.com
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