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Work Background
SUNRxManager, Implementations
Sep. 2016Greater San Diego Area
SUNRxSenior Implementation Manager
Oct. 2013 - Sep. 2016Greater San Diego Area340B Holdings LLC, under the brand name SUNRx provides automated solutions to help 340B Eligible Entities and community health organizations design and manage 340B and GPO drug programs. As a wholly owned subsidiary of MedImpact Healthcare Systems, Inc., SUNRx leads the industry with compliant drug programs that expand access to affordable medications. The Senior Implementation Manager manages the new business implementation process for assigned clients. The Sr. Implementation Mgr. ensures consistent customer satisfaction during implementation by collaborating with client teams, multiple business units, and clients to ensure project deliverables are consistent with client service agreements, service levels agreements, and project timelines and deliverables. Other responsibilities include: • Subject matter expert on the 340b program and regulations
• Full responsibility for project plan development and execution
• Acquire in depth knowledge of the client’s organizational structure, contract, benefits, culture, and program goals in order to design effective programs
• Translate business needs into sound business solutions
• Manage client implementation projects from implementation to go-live
• Issue identification and resolution throughout the implementation
• Ensure client satisfaction during the implementation • Work with internal partners units to flawlessly implement the client’s program design
• Accountability for adhering to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical and service specifications.
MedImpactExternal Compliance Support Manager
May. 2011 - Oct. 2013Greater San Diego AreaCoordinate and arrange meetings with auditors, clients, project personnel, SME’s and other resources necessary to complete and execute project deliverables. Ensure that assigned team members understand roles, responsibilities, and project rules of engagement. Manages and tracks project progress by establishing regular meetings with project teams (internal and external) to evaluate progress and mitigate possible risks. Ensure that project progress remains on schedule and meets milestones timely throughout project life cycle. Manages project plans, meeting schedules, task logs, file submissions, agendas, corporate audit records, and other project deliverables for documentation and/or dissemination to CMS, auditors, clients, and team members. Accountable for ensuring that project is completed successfully within project timelines, meets operational readiness criteria, and implements seamlessly. o Manage multiple Federal, State, and Client audits through audit project lifecycle from kick-off to closure
o Determine project scope and deliverable requirements
o Review client contracts for audit provisions to determine audit rights and timelines
o Work with Account Executives to obtain executed NDA for third party audit firms
o Negotiate timelines with auditor, clients, and regulatory bodies
o Prepare presentations for delivery at SLT meetings
o Prepare presentations for delivery to SVP Corporate Services
o Built Salesforce dashboard and reports, Microsoft Access Report, and Excel charts for enhanced work flow and communication of external compliance support audit metrics to leadership
o Implemented use of Microsoft OneNote for enhancing work flow and ease of audit documentation review
MedImpact Healthcare Systems, Inc.Regional Manager, Service Delivery
Mar. 2006 - Aug. 2011Greater San Diego Area• Knowledgeable in business requirements and design for all MCO lines of business: Medicare Part D, HMO, PPO, HDHP, Medicaid, and 340B. • Oversee client service staff supporting 16 regional clients with annual revenues of $36.4 million.
• Responsible for oversight and management of multiple projects for Region 2 book of business.
• Innovative • Collaborative – Reputation for working internally to innovate EASY and SIMPLE processes that are mutually beneficial for all departments. • Participate in cross functional groups to develop and implement corporate projects.
• Excellent organization and prioritization skills – efficiently multi-tasks, tracks all projects, issues and requests in order to consistently meet established deadlines.
PharMericaMultiple positions including Regional Manager, Regional Office Manager, Tech Supervisor
Nov. 1989 - Mar. 2006Palm Spring, CA, Ontario, CA, and Riverside, CA• Built deeper relationships with all accounts by providing unequaled customer service. • Facility account management: account liaison. Focused on proactive problem solving and issue resolution management with a goal of customer satisfaction and retention. Successfully retained “Red” clients as incoming manager.
• Managed total A/R for Pharmacy with annual revenue of 12,000,000/yr
• Managed all pharmacy technician personnel; hire, train, and develop associates. Prepared and communicated associate merit reviews annually. • Prepared HR documents for new hires and associates on medical leave
• Acted as privacy coordinator to ensure that HIPAA regulations followed on site. Acted as liaison to corporate privacy department and log disclosures in corporate software program.
• Managed operations for multiple sites; Ontario and Palm Springs, CA. Reported directly to V.P. of Operations.
• Dispensed medications and assist pharmacist in keeping with State board of Pharmacy laws and regulations.
• Triaged non-covered medications for possible submission to prior authorization departments at 3rd parties and Medi-Cal. • Submitted claims to third party insurance and Medi-Cal.
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