Minneapolis, MN | Edina, MN | Colliersville, NY
Also known as: skmistry
Accomplished Senior Executive in the Managed Healthcare environment with comprehensive knowledge of Health Plan, PBM operations, business oriented and focused on execution and driving results. Proven track record of managing P&L, aggressive Pharmacy trend management, developing innovative solutions, executing strategies, delivering expected results. Responsible for managing $350 million dollar annual drug budget for a Medicare Advantage health plan. Manage a team of professional and operational staff to oversee the pharmacy benefit, including formulary management, utilization management, operations, vendor oversight, and network relationships. Create and implement innovative solutions to decrease pharmacy trends. Ability to develop and execute complex strategies in a matrix organization. Specialties Managed Care Pharmacy Pharmacy Benefit Management Formulary Management Utilization Management Medicare Part D Medicaid Healthcare Trends Trend Management Rebate Contracting Vendor Negotiations Network Management Business Development Project Management Fraud, Waste and Abuse
Minneapolis, MN | Edina, MN | Colliersville, NY
Also known as: skmistry
Accomplished Senior Executive in the Managed Healthcare environment with comprehensive knowledge of Health Plan, PBM operations, business oriented and focused on execution and driving results. Proven track record of managing P&L, aggressive Pharmacy trend management, developing innovative solutions, executing strategies, delivering expected results. Responsible for managing $350 million dollar annual drug budget for a Medicare Advantage health plan. Manage a team of professional and operational staff to oversee the pharmacy benefit, including formulary management, utilization management, operations, vendor oversight, and network relationships. Create and implement innovative solutions to decrease pharmacy trends. Ability to develop and execute complex strategies in a matrix organization. Specialties Managed Care Pharmacy Pharmacy Benefit Management Formulary Management Utilization Management Medicare Part D Medicaid Healthcare Trends Trend Management Rebate Contracting Vendor Negotiations Network Management Business Development Project Management Fraud, Waste and Abuse
