Manager Management

AGNES M. Goins

**** ****** **** ***** *****: 650-***-****

Menlo Park, CA 94025 E-mail: abnay9@r.postjobfree.com

Summary

. Experience in end-to-end management of government and commercial contracts

. Experience in development, implementation and monitoring of compliance

programs

. Experience in management of Medicaid programs in a managed care and

childcare setting

. Experience in leading systems implementation and integration

. Experience in curriculum development for early childhood and maternal/child

programs

Experience

Sr. Manager, Contract Operations January 2008 - Present

Gilead Sciences Foster City, California

Oversaw government and commercial contracts from proposal development to

implementation. Provided strategic direction relating to government pricing

and contracting activities. Collaborated with the business team and legal in

developing policies surrounding legislative changes such as MMA, DRA and

Tricare. Lead efforts in ensuring all calculation methodologies are in

compliance with legislation and properly implemented in the GP system. Managed

relationships with wholesaler, federal and state partners. Developed metrics

and scorecards to measure compliance with distributor agreements. Lead a team

of analyst to managed the day-to day operations of chargeback and rebate

processing and oversaw all internal and external audits. Created efficiencies

in internal processing by standardizing methodologies and monitoring. Oversaw

the implementation and data migration of chargebacks and rebates into a new

system platform. Worked closely with finance and accounting to ensure proper

accruals and timely rebate payments. Developed and implemented Cross Training

Interdepartmental Program.

Manager, Federal Pricing January 2006 - January 2008

Gilead Sciences Foster City, California

Managed end-to-end implementation of federal contracts including proposal

development, negotiations and post award implementation for VA and Medicare.

Ensured compliance and avoided backend financial penalties through timely and

accurate submission of all government price reporting requirements. Oversaw

all internal and external OIG/FSS audits. Ensured product placement in all

government programs for all newly approved and acquired products. Provided

strategic direction relating to Government pricing and contracting activities.

Launched the newly created managed care department, and oversaw the

implementation of MN Managed Care System. Collaborated with National

Accounts and Legal to develop and negotiate managed care contracts.

Coordinated contract implementation efforts. Developed Class of Trade

Structure and oversaw implementation on all systems including ModelN, DPS and

JDE. Coordinated pricing submissions relating to joint venture between BMS

and Gilead. Functioned as business lead in the ModelN Commercial and

Government implementation. Coordinated all systems, processes and SOP

enhancements relating to legislative changes including MMA, DRA, and Tricare.

Developed training module templates for government pricing.

Manager of Government Operations August 2000 - January 2006

GE Healthcare/Amersham Health Princeton, New Jersey

Managed and administered all government contracts for Amersham Health

Division. Directed all aspects of federal, city, county and state contracting

including negotiating FSS(Federal Supply Schedule) contracts, submission of

all bids and price quotes, implementation and compliance. Executed all awarded

contracts including pricing, membership, and administration fee/rebate

management. Oversaw compliance with the Federal Supply Schedule (FSS), Big

Four, and Dual price lists and submitted all reporting requirements such as

Sales, NonFamps, FCP and Medicare ASP. Coordinated all pre- and post-award

government audits and voluntary disclosures. Interpreted legislative

requirements to define business logic in systems design to support contractual

obligations. Monitored legislative changes to limit company exposure to

penalties associated with non-compliance. Maintained relationships with VA,

CMS, DoD and other government entities.

Compliance Manager May 1994 - June 1998

Aetna U.S. HealthCare Fairfield, New Jersey

Managed a team responsible for compliance with the New Jersey State Medicaid

Program and Managed Medicare Program. Oversaw daily operations including,

ensuring timely submissions of reporting and filing requirements. Managed all

internal and external audits including DMAHS, PRO, and CMS. Obtained

Certificate of Authorities for five additional counties to expand enrollment

capacity. Implemented new program requirements for the enrollment of the DYFS

population and the startup of the new KidCare Program for uninsured children.

Developed the statewide outreach program to reduce medical loss ratio.

Coordinated system migration into a single platform as part of the Aetna U.S.

Healthcare merger. Ensured all system functionality such as enrollment,

claims, provider and member services lines are in compliance with the

contract. Oversaw the development of materials such as member handbooks,

directories, physician manuals and member education materials. Developed case

management program catering to the Medicaid Managed Care Program with a focus

on pregnancy, HIV and asthma. Established partnerships with community based

organizations and DMAHS. Developed policies and procedures and benefits

clarification manual.

Program Coordinator June 1991 - May 1994

Saint Michael's Medical Center

Newark, New Jersey

Coordinator of Healthy Mothers/Healthy Babies Program providing prenatal care

and comprehensive case management to high risk pregnant women in the Newark

and East Orange area. Supervised a team of perinatal staff servicing the

needs of 450 patients. Developed, organized, and implemented educational

curriculum for patients participating in the program. Oversaw the case

management of patients and outreach and home visitation efforts. Coordinated

education and training of staff. Generated and submitted grant proposals to

solicit financial support from private and public sources. Established

networking relations with outside agency resources and community leaders.

Program Coordinator July 1989 - March 1991

Babyland Nursery, Inc. Newark, New Jersey

Established and implemented procedures for admission of new clients.

Interviewed and processed all in-coming clients for the Title XX Program of

130 families. Monitored service levels and prepared monthly reports for Title

XX Program. Served as liaison between DYFS case workers and Babyland Nursery

in handling referrals for day care supervision of child abuse or court order

cases. Supervised the Child Care Food and Nutrition Program for all Babyland

Nursery centers. Monitored record keeping and billings for Protective

Services Program and Transportation Services. Researched available funding

sources and wrote grant proposals to obtain additional funding. Functioned as

Head Start Consultant in creating a Teen Mother/Pregnant Teen Curriculum.

Collaborated with center supervisor and head teacher in developing a

curriculum for children ages three months to 4 1/2 years old. Initiated a

monthly newsletter for all Babyland centers. Organized workshops and

conducted in-service training for caregivers.

Education

1989 Cornell University Ithaca, New York

Bachelor of Science in Human Service Studies

Concentration in Program Planning and Development

References

Available upon request.

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