Pharmacy Manager

Kevin Peterson, PharmD

Phone: 402-***-****

Email: ***********@*****.***

Experienced Pharmacist with over 25 years specializing in management of home health care, specialty pharmacy, Medicare, Medicaid and cost containment. Skilled at issue resolution, improving customer satisfaction, and driving overall operational improvements. High-level of experience in policy development and staff management procedures positively impacting overall morale, productivity and profitability.

ACCOMPLISHMENTS

Developed, implemented and oversaw Pharmacy Benefit Management Program across multiple product lines in both centralized and regional environments for a start-up Medicaid plan.

Implemented new pharmacy claims processing program for mid-sized Managed Care Organization.

Identified and cut approximately $47M in expenses during drug utilization review process.

Provided leadership to develop all aspects of operation and sales for a start-up specialty pharmacy.

Increased operating revenue by 400% and core revenue by 600% in same 3-year period.

Revised pharmacy plans of care to comply with JACHO Standards allowing company accreditation.

SKILLS

Pharmacy Operations Management

Business and Technical Management

Customer Service, education and counseling

Growth and Strategic Planning

Contract Negotiation

Training and Mentoring

Drug Utilization Review

Medicare/Medicaid Process

Business and Relationship Development

Networking

WORK HISTORY

9/2016 to 8/2019 Director of Pharmacy

Nebraska Total Care, Omaha, NE

Supervised the development and performance of clinical managed care programs and ensured strong clinical quality initiatives were implemented.

Collaborated with other members of Executive Management Team to develop and execute business planning.

Ensured National Council of Quality Assessment (NCQA) Standards were met through HEDIS and CHAPS scores.

Guaranteed compliance with contractual guidelines of Nebraska Total Care and Nebraska State health plans impacted by numerous regulatory agencies with complex requirements.

Collaborated with State Officials on P&T and DUR state programs.

Directed evaluation and analysis of pharmacy cost of care.

Developed innovative benefit design and promoted adherence to care.

Built high-performance team through recruitment and training.

Established annual budget and set the strategic direction for NTC in coordination with the executive finance team.

9/2009 to 9/2016 Pharmacy Manager

Coram Healthcare, Omaha, NE

Managed pharmacy and warehouse operations and pharmacy admissions.

Trained referral sources’ clinical staff on Company pharmacy services.

Educated Clinical and Sales staff on new products and procedures.

Established quarterly and annual budgets for sales and pharmacy operations.

Counseled patients and doctors to determine appropriate treatment plan.

Developed policies and procedures for effective pharmacy management.

Engaged prospects and customers through various events, including tradeshows, seminars and workshops.

Performed forecasting to identify necessary changes for supply chain business.

1/2009 to 9/2009 Temporary Clinical Pharmacist

Nebraska Heart Hospital

MedWellRX

Bryan LGH East Hospital

4/2008 to 1/2009 Vice President of Pharmacy Operations

Affinity Biotech Inc.

Managed all aspects of nationwide start-up of Specialty/Community Pharmacy specializing in care of patients with chronic disorders, such as Hemophilia, Crohn's Disease and Multiple Sclerosis.

Developed formulary and established inventory of medical supplies.

Designed pharmacy operations.

Collaborated with other members of Management Team in strategic planning decisions and budgeting for business growth.

Negotiated and obtained contracts with insurers and managed reimbursement process.

Established sales contacts with patients with chronic conditions.

10/2007 to 4/2008 Clinical Coordinator

Pharmaceutical Technologies Inc. (PTI), Omaha, NE

Staff Pharmacist for mid-sized Pharmacy Benefits Manager (PBM).

Analyzed plan structures to maximize clinical outcomes and ensure accurate claims processing.

Developed policies and procedures for pharmacy operations.

10/2002 to 9/2007 Pharmacy Manager

OptionCare Enterprises, Omaha, NE

Increased operating revenue by 400% and core revenue by 600% over same 3-year period.

Developed annual multi-discipline budget.

Built high-performance team through recruitment and training.

Completed ACHC accreditation in August 2006.

Designed new process for monitoring and compounding TPNs for Nebraska Region by implementing new software and developing nutrition support program.

3/2001 to 10/2002 Senior Pharmacist

Apria Healthcare Group Inc, Lenexa, KS

Clinical Pharmacist providing care in home-infusion setting for patients requiring IV-home therapy and catheter maintenance.

1/2000 to 3/2001 Staff Pharmacist

Children’s Mercy Hospital, Kansas City, MO

Hospital Pharmacist in 220-bed, Level I Trauma Pediatric Hospital.

8/1995 to 12/1999 Staff Pharmacist

Coram Healthcare, Lenexa, KS

Clinical Staff Pharmacist providing IV-home therapy, enteral feedings, wound care and catheter maintenance.

5/1994 to 7/1995 Staff Pharmacist

Trinity Lutheran Hospital, Kansas City, MO

Night-shift Staff Pharmacist supervising preparation of IV medication and TPN add-mixture, along with other daily clinical responsibilities.

EDUCATION

8/1990 to 5/1994 Doctor of Pharmacy

University of Nebraska Medical Center, Omaha, NE

8/1986 to 5/1990 Bachelor of Science: Biology & Chemistry

Midland University, Fremont, NE

VOLUNTEER WORK

6/2012 to 12/2018 Board Member & Team Coordinator

Elkhorn Athletic Association

2/2012 to 7/2016 Select Softball Coach

Nebraska Quakes Girls’ Softball

4/2019 to Present Team Coordinator

Nebraska Quakes Girls’ Softball

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