Expert Profile
Dr. ***** is a National Clinical Executive for ***** ***** in ***** Park, Illinois. Dr. ***** provides clinical support to national accounts in delivering unbiased clinical information to meet the accounts clinical needs and assist in their formulary decision making process. Additionally, Dr. ***** has lead multiple initiatives within the team from product launches, integrations, training and is a mentor to new hires. Dr. ***** provides clinical support to national accounts, Trade, specialty pharmacy initiative, HCV strategy team, employer initiative, HEOR and marketing. Dr. ***** ’s recent tenure was with the Walgreen Co. as a Regional Clinical Manager in managed care sales division. Dr. ***** ’s team was responsible in developing and maintaining new and existing managed care relationships for retail pharmacy, mail order, specialty pharmacy and home care. Additional responsibilities included oversight of contracting, clinical product development and clinical training. Prior to his advancement, Dr. ***** was the manager of formulary services for Walgreens Health Initiatives, Inc. His responsibilities included chairing Medication Management subcommittee, developing therapeutic class reviews to justify the formulary decision making process, monitoring the pipeline, pioneering new formulary prior authorization/step care management programs, managing client formularies, collaborating with manufacturers, presenting at finalist presentations and supporting the sales field. Dr. ***** also has extensive training in ambulatory care and academia, which he gained in his one-year post doctorate tenure in managed care at AdvancePCS. Dr. ***** is a graduate of St. Louis College of Pharmacy
2005-Present ***** ***** ***** Park, IL
National Clinical Executive, Managed Markets/Policy
Clinical responsibility for entire product portfolio including Immunology, Cardiovascular disease, Chronic Kidney Disease, HIV, Infectious disease, Asthma, Oncology and Oby/Gyn
Collaborate across national accounts to obtain/maintain favorable formulary access and reimbursement status for ***** products across managed care, PBMs, Specialty Pharmacy, Retail, VA-DOD and Long-Term Care accounts
Resource and interface between national managed care leaders and internal managed care executives, Public Health Policy & Strategy, Brand Marketing, Clinical Development, GPRD and HEOR
Collaborate on multiple levels with HEOR and Clinical/Epidemiology teams to develop and address national account clinical/outcomes needs
Developed 3 outcomes protocols to address market challenges in psoriasis that were utilized by entire managed markets organization
Managed markets chair on a cross functional HCV access strategy working group
Managed markets lead to develop launch plan and strategy for Humira in psoriasis in collaboration with Brand marketing, HEOR, GPRD, Payor/Analytics, Specialty Pharmacy, Pub team, etc.
Managed markets lead for employer strategy development across entire company (i.e., Nutritionals, Brand, Corporate, Diabetes Care, Managed Markets)
Collaborated with multiple CRO, consultant organizations and medical regulatory to develop clinical calculator to evaluate cardiovascular risk
Managed markets lead for specialty pharmacy working group
Developed multiple independent relationships with national accounts to conduct research initiatives (e.g., compliance/persistency, dose escalation, cardiovascular risk, etc)
Managed markets lead for new product development taskforce
Clinical speaker at multiple managed care advisories boards
Consult with senior management of SOPs, LRPs, account planning, strategy, compliance, etc.
Therapeutic lead on pipeline for managed markets
Multiple clinical formulary victories across all national accounts
Mentor to all new clinical hires and team lead amongst national executives
2003 – 2005 Walgreens Health Services (WHS) Deerfield, IL
Regional Clinical Manager for Managed Care Sales
Managed a team of 5 clinical managers across one-third of the US who were responsible in developing and managing relationships with managed care organizations, PBMs and Specialty pharmacies
Team was responsible for formulary management, finalist presentations, drug information, trend analyst, marketing, utilization management, etc. for managed care accounts
Developed managed care training for Medication Therapy Management Services (MTMS).
Responsible for negotiating specialty, retail and mail contracts with pharmacy directors, medical officers, chief financial officers in managed care and PBMs
Handled day to day and quarterly clinical manager activities such as budgets, performance reviews, career development, ride alongs, compliance, etc.
Identify, implement and manage disease state management programs and wellness programs at Pharmacy Care Centers (PCC) and Walgreen Patient Care Centers (WPCCs) (i.e., smoking cessation, compliance/persistency, appropriateness of therapy, etc.)
Sales team leader for specialty pharmacy steering committee, which was responsible for development and enhancement of specialty pharmacy services
Manage the implementation process for specialty and mail clients
Collaborate with outcomes team to forecast specialty pharmacy and 90 day at retail outcomes
Develop methods to monitor compliance and persistency for clinical programs
Provide drug information to healthcare professionals and present live CE (i.e, MS and Hep C)
Sales and clinical trainer for managed care account management and specialty pharmacy field representatives
Pharm.D. Saint Louis College of Pharmacy: 2001
AMCP, AHIP, ISPOR, PCMA