Expert Profile
During his ten years working within the Pharmacy Benefit Management (PBM) industry, Mr. ***** has had many notable accomplishments. His primary responsibility during his tenure in the PBM industry was Business Development for the eastern United States. His efforts contributed to his employer being named as the #1 fastest growing businesses in CRAINS, and the #4 fastest growing business in America. In addition to his business development responsibilities, Mr. ***** was responsible for the conception and implementation of a PBM revenue forecasting model that is still in use today. The PBM revenue model Mr. ***** created evaluates all PBM revenue sources, and is used in determining pricing offered to new clients, and existing clients upon renewal. It is this exceptional level of technical knowledge of the Pharmacy benefit industry that makes Mr. ***** uniquely qualified as an auditor and consultant.
Mr. ***** has been very active in educational initiatives designed to help unveil the complexity of the pharmacy benefit industry. As the featured speaker of the national PBM educational series “Taming the Tiger”, Mr. ***** has had the opportunity to present his “PBM 101: Pricing and Revenue Models” throughout the Country. The PBM 101 presentation has been approved in New York State for Life and Health Licenses continuing education credits. Mr. ***** has had the privilege of supporting education and awareness of PBM business models at many industry venues. As a speaker at the Health and Welfare Conference for Mid- Sized Employers, Made In America Taft Hartley Benefits Summit, the National Association of Police Officers (NAPO), and HCAA, Mr. ***** is dedicated to offering his experience to provide industry colleagues with a unique understanding of the pharmacy benefit industry. Most importantly, Mr. ***** provides valuable insight into how pharmacy benefits interface with the healthcare delivery system as a whole.
Prior to working within the PBM industry, Mr. ***** had a successful management career working for a New York based Blue Cross Blue Shield plan, and as a Large Group Representative for US Healthcare. This background in health plan operations provides Mr. ***** with a very highly attuned awareness of all aspects of the healthcare delivery system.
***** Consulting Group, Inc President.
***** Consulting is a Pharmacy Benefit Auditing and Consulting Firm
National Medical Health Card Systems,Vice President of Sales Eastern United States
Responsible for all sales east of Mississippi
BS Florida Tech
HCAA Member, Speak at: Made in America Conference, National Self Funding Conference
Self Funding Magazine, "traditional PBM Pricing Vs Pass-Through...Look before you leap!"
http://*****/article-detail.php?issue=issue-4&article=traditional-pbm