Expert Details

Expert in Healthcare Vendor Management

Expert ID: 732353 New Jersey, USA

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He is a Subject Matter Expert in all aspects of pharmacy benefit management vendor oversight for the health plans. This includes all operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships to assure compliance with all contractual and regulatory requirements and to meet the goals of the company.

Expert has an extensive knowledge base and experience with vendor contracts inclusive of ensuring vendors meet all CMS and SDOH regulatory requirements, SLA’s, and performance guarantees set forth in the agreement.

Expert has over 10 years of direct experience with the adoption of new health plans for pharmacy, dental and vision vendors by liaising with IT, Government Relations, Provider Network, Clinical, Legal and Compliance departments.

He also has extensive experience implementing various new Medicaid/Medicare health plans (Healthcare Exchange, FIDA and HARP) for Fidelis Care that included the creation of new and revised vendor contracts that adhere to all federal & state regulatory compliance standards.

Expert may consult nationally and internationally, and is also local to the following cities: New York, New York - Yonkers, New York - Newark, New Jersey - Jersey City, New Jersey - Paterson, New Jersey - Elizabeth, New Jersey - Bridgeport, Connecticut - New Haven, Connecticut - Hartford, Connecticut - Philadelphia, Pennsylvania

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Education

Year Degree Subject Institution
Year: 1995 Degree: M.S. Operations Management Subject: Operations Management Institution: New Jersey Institute of Technology
Year: 1992 Degree: B.S. Business Administration Subject: Business Management Institution: Ramapo College of New Jersey

Work History

Years Employer Title Department Responsibilities
Years: 2013 to 2015 Employer: Fidelis Care of New York Title: Director, Vendor Oversight Department: Contract Management / Vendor Oversight Responsibilities: Expert managed the development of productive working relationships with Fidelis' major vendors currently providing dental, vision, pharmacy and transportation services exceeding $1.3 billion in annual costs. He also facilitated the adoption of new health plans for pharmacy, dental and vision vendors by liaising with IT, Government Relations, Provider Network, Clinical, Legal and Compliance departments. Expert also assured compliance with all contractual and regulatory requirements and to meet the goals of the company. He also maintained vendor contracts for the company.
Years: 2010 to 2013 Employer: CenterLight Healthcare Title: Vendor Manager Department: Contract Management Responsibilities: He managed and maintained all healthcare vendors within the organization. Expert also facilitated the company's RFI (Request for Information) process. He also analyzed the vendors used by the firm and maintained the vendor contracts for the firm.
Years: 2007 to 2010 Employer: Horizon BCBSNJ Title: Account Executive Department: National Accounts Responsibilities: Expert managed and coordinated account service activities where typical group size included 1,000-5,000 eligible or enrolled subscribers.
He proactively developed effective business relationships with brokers, consultants, and key decision makers in order to meet or exceed new and renewal sales targets.
Years: 1999 to 2007 Employer: Omnicare, Inc. Title: Director, Pharmacy Process Improvement Consultant Department: Pharmacy Operations Responsibilities: Expert handled the implementation of all process improvements under Omnicare’s Best Practice guidelines. As Director of Operations, he effected a turnaround of Pompton Nursing Home Suppliers (Bach's Pharmacy) within first year, reduced inventory days-on-hand by 19 days and reduced payroll costs by 43%, saving $1.3MM.

Career Accomplishments

Licenses / Certifications
Six Sigma - Healthcare (Villanova University)
Awards / Recognition
Chiefs Award for Outstanding Achievement

Fields of Expertise

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