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Rob Fellman, JD

Rob Fellman, JD

Senior Director Specialty Pharmacy Strategic Payer Strategies

location_on Greater St. Louis Area

Senior Director Specialty Pharmacy Payer Strategies at Parkway Pharmacy LP

Managing Member, Attorney at Fellman and Associates, LLC

Awards Earned:

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Level: LEVEL 01 (12mo pts: 0 pts)

Lifetime points: 26 pts View details

Thought Leadership:

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Profile

Summary

Strategic advisory services, including, but not limited to:(i) Market opportunity mapping of present state and future state coupled with the leveraging of new technologies to commercialize new biologics (BLAs), pharmaceuticals (NDAs, ANDAs, ELAs, PLAs) and medical devices (de novo 510ks, 510ks with predicates);(ii) Developing & implementing commercialization strategies for future market realities;(iii) Application of over the horizon strategies for distribution, marketing, payer coverage, reimbursement, medical coding, payer & MCO contracting & regulatory compliance;(iv) Health insurance coverage, medical coding & reimbursement for specialty pharmaceuticals, medical devices & pharmacogenomics;(v) Health insurance contracting strategies with medical service providers (facility, pharmacy & physician, reimbursement);(vi) Pay for Performance -Total Cost of Care - Patient Population Health Management contracting & reimbursement models for integrated care delivery systems;(vii) Healthcare supply chain contracting and strategic sourcing for technologies & services;(viii) Physician, Hospital, Pharmacy,Home Health Contracting for Payers(ix) Specialty pharmaceutical distribution & supply chains; and(x) Payer coverage & reimbursement decision making processes. robfellman@fellmanassoc.com (314) 724-4450

Experience

Senior Director Specialty Pharmacy Payer Strategies

Parkway Pharmacy LP

October 2015 - Present

robertf@parkwaypharmacyrx.com Toll Free 866-355-7797 Fax 888-551-6289 iPhone 314-724-4450

Parkway Pharmacy LP = Value 24-7-365

* URAC & ACHC accredited as a Specialty Pharmacy
* Pharmacist in Charge is a Specialty Pharmacy Accreditation Board Certified Specialty Pharmacist
* Coordinates patient access to financial assistance programs, support groups, disease management, patient & care giver education, ground transportation & in-home health services
*patient centered care & patient population health management programming structured around empirical outcome studies to optimize clinical outcomes & mitigate costs
* 24-7-365 patient & physician support
* Hub services for REMS products
* Patient Assistance Program administration
* Participation in all major commercial & public coverage

Areas of SPECIALTY PHARMACY expertise include:

* Alcohol/Opioid Dependence & Chemical Dependency
* Asthma, Emphysema & COPD
* Cancer & Anemia
* Celiac Disease, Crohn's Disease, Irritable Bowel Syndrome & Ulcerative Colitis
* Heart Failure & Pulmonary Arterial Hypertension
* HIV/AIDS & Hepatitis A, B & C
* Infertility & Premature Birth
* Multiple Sclerosis, Myasthenia Gravis, Psoriasis, Sarcoidosis & Lupus
* Transplant & Autoimmune Suppression
* Fibromyalgia, Osteoarthritis, Osteoporosis, Psoriatic Arthritis & Rheumatoid Arthritis




Managing Member, Attorney

Fellman and Associates, LLC

March 2010 - Present

PBM and Pharmacy Provider Network Contracting

Procurement of business process outsourcing vendors for FDA regulated medical device, biological & pharmaceutical manufacturers.

Expertise in insurance coverage, reimbursement & pricing relating to commercial & government programs (i.e., Medicaid Drug Rebate Program, Medicare, 340B Drug Discount Program, VA NAC administration of Federal Supply Schedule, etc.] Experience:
• 2014-2015 (REFERENCE LABORATORY) Market Research & Analysis
• 2014 (START-UP BIOTECH) Commercialization of Medical Device in US & EU – BPO planning for supply chain distribution strategies & contracting for institutional sales of medical device (de novo 510k) via GPOs – & coding, coverage & reimbursement advisory services to provide hospitals w new technology payments during & an ICD-9/ICD-10 procedure code to track use & outcomes longitudinally.
• 2012-2013 (START-UP PHARMACO-GENOMICS LABORATORY) Consultant - RFP Authorship for BPO vendors for REMS hub contracting w specialty pharmacies, payers & ACOs.
• 2011-2012 (CENTENE CORP - Centurion Managed Care, LLC) Interim Director of Contracting for correctional healthcare affiliate of Centene Corp. & MHM Services, Inc.) Network development for correctional healthcare company for RFP bid development.
• 2011 (GENERIC MANUFACTURER) Pricing & contracting for Paragraph IV Authorized Generic.
• 2010-2011(ALLIANCE LIFE SCIENCES CONSULTING GROUP) Senior Government Pricing Consultant - BPO Advisory services
• 2011 (340B HEALTH SYSTEM & SPECIALTY PHARMACY) Leveraging 340B Contract Pharmacies for correctional populations.
• 2011 (ORPHAN DRUG MANUFACTURER) Payer market contacting strategies .
• 2011 (BIOLOGICAL SPECIALTY DRUG MANUFACTURER) Pricing & contracting strategies ifor NDA & BLA products.
• 2011 (BRAND PHARMACEUTICAL MANUFACTURER) Contracting & pricing strategies.
• 2010 (GENERIC DRUG MANUFACTURER) Compliance Documentation

Skills

Healthcare 4
Pharmacy 4
Managed Care
Pharmaceutical Industry
Medicaid
Pharmacy Benefit Management
Leadership
Employee Benefits
Strategic Planning
Health Policy
Regulatory Affairs
PPO
Strategy
Health Insurance
Management
Medicare
Policy
Hospitals
Medical Devices
Healthcare Industry
Contract Management
Oncology
Medicaid Managed Care
Health Care Reform
Medicare/Medicaid reimbursement
Physicians
Healthcare Consulting
Business Development
Lifesciences
Biotechnology
Clinical Research
Cross-functional Team Leadership
Start-ups
Market Research
Program Management
Mergers & Acquisitions
Regulations
Life Sciences
HIPAA
PBM Contracting
Biologics
Pharmacogenomics
Pharmaceutical Supply Chain Contracting
Government Pricing
Supply Chain Management
Contract Negotiation
Purchasing
Government Contract Administration
340B Drug Pricing Program
FDA Regulated Life Sciences Industries

Industries

Activities