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Manager Project

Location:
Austin, TX
Posted:
August 12, 2014

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Resume:

Jacob A. Willson, M.B.A.

**** ****** ** *******, ** 94520

925-***-**** *******.****@*****.***

Profile Extensive knowledge of healthcare economics, healthcare contracts,

medical billing, and co-pay programs.

Transferable skills in negotiating and relationship building with

direct and cross-functional teams.

Unique specialty pharmacy experience with planning and forecasting

experience for the largest patient assistance distribution network

in the United States.

Significant experience with metrics target setting, variance

analysis, and utilization rates.

Passionate team leader with experience in strategic resourcing,

planning, and project management.

Educatio M.B.A. - Health Services Management, Golden Gate University Dec

n 2012

B.A. - Advertising, Washington State University May

2001

Career May

History PPD (Pharmaceutical Product Development), Austin, Tx 2013-

Contract Manager (Functional Title) Present

Contract Specialist (Department Title)

Negotiate legal language for Clinical Trial Agreements.

Negotiate grants and payment terms for Clinical Trial

Agreements.

Manage escalations to Sponsors for contract and budget

terms outside of the grant plan range.

Manage and report on the progress for contract negotiations Oct

on studies with PPD's Strategic Partners. 2012-Ma

Mentor and train new specialists during the onboarding y 2013

process.

Assistant Project Manager

Lead as a strategic client partner for 3 global clinical

trials (phase II-IV) during the start-up, interim, and

close-out phases

Innovate new audit tools to maximize FDA documentation

compliance (Database Document Audit).

Introduce new resourcing tool for efficient headcount

allocation (Resource Solver).

Create and lead the introduction of the Audit Lab resource.

Sonexus Health, Dallas, Tx Jul

Manager of Client Relations - Reimbursement Services 2012-

Spearhead the design and startup of a managed care Oct

marketing brand loyalty program on an accelerated 90-day 2012

launch timeline.

Lead multiple simultaneous co-pay program designs.

Deliver and report on Service Level Agreements for existing

programs (co-pay, reimbursement, and patient assistance).

Negotiate pricing for add-on services. Create and implement

the invoice process for add-on services. Verify standard

invoice statements based on SOW terms for FTE and

transactional-model programs.

Partner with the creation of SOWs and training for existing

and new business lines.

Genentech/ Roche, South San Francisco, Ca Feb

Senior Supervisor - Access Solutions / GATCF 2008-

Lead a team of 7-10 case managers in the evaluation of Apr

claim denials to determine appeal eligibility, co-pay 2012

eligibility, or patience assistance eligibility.

Perform monthly case reviews and call monitors, to ensure

proper handling of cases per established SOPs and

compliance with HIPAA regulations.

Coach, mentor, and provide ongoing feedback to drive KPI

performance in throughput, service, and turnaround times.

Documented and took appropriate actions with performance

management situations, partnering with HR.

Work with payer field team, government account managers,

and channel field teams to identify payer issues and

develop strategies to tackle the issues (i.e.daily infusion

limits, DME MAC denials, and SNF payments).

Strategically manage and shift resources with other leaders

based on brand business needs.

Interview, hire, on-board, and train employees.

Handle escalated cases and develop strategies to constantly

improve customer satisfaction with the program.

Serve as SME with the analytics group to transition KPI

measurement from a philosophy of counting actions to

measuring outcomes. Lead the scorecard development effort

to align metrics across the organization.

Senior Supervisor - Project Highlights:

Managed the $500M drug distribution channel, negotiating

inventory with the commercial distribution group, and

reconciling inventory with the GATCF CFO for OIG, and IRS

compliance.

Participated in annual compliance audits for free-goods and

co-pay programs to ensure compliance with FDA regulations

(i.e. separation of duty, collusion mitigation, and proper

information sharing with Business Associate Agreements).

Lead the consolidation of multiple consignment pharmacies

for the Genentech drug portfolio in 2008. Lead the

integration of the free-goods programs between Genentech

and Roche in 2010, and the post-merge pharmacy

consolidation in 2011.

Lead the packaging efficiency project to transition cold

product shipping to more efficient packages, reducing

shipping costs by an estimated $5M over the 3 year business

plan. Negotiated with the corporate distribution, medical

communications, and legal groups to implement the updated

shipping method and related physician communications.

Developed the standardized forecasting model for PAP

inventory across the product portfolio and managed

inventory through several global product shortages.

Lead and created the SOP and operating manual for drug

inventory to reduce holding inventory at the consignment

pharmacies.

Lead and created the SOP and operating manual for the

clinical approval process where the clinical advisory board

(CAB) updated approved indications for the program.

Partnered to outsource to a third party, the reimbursement

and PAP services for the brand my team supported, ensuring

business continuity and minimal patient impact.

Farmers Insurance, Santa Rosa, Ca. Oct

Claims Center Branch Manager - Medical Injury Claims and 2004-

Liability Investigations Feb 2008

Lead the team of 27 specialists and supervisors to exceed

KPI targets through new talent acquisition, skills

training, and staff performance management.

Hire, on-board, and train case managers to be careful

critical thinkers when applying liability and evaluating

treatment plans.

Negotiate escalated liability incidents and high-value

losses with attorneys and in mandatory settlement

conferences.

Manage all aspects of the claims call center including

headcount, budget, and implementation of new policies and

initiatives.

Execute on financial performance ensuring profit and loss

targets were met on a monthly and quarterly basis.

Set a state precedent in leadership behavior by proactively

partnering with the Stockton office leadership team to

share best practices, resources, and strategic business

plans.

Present at quarterly business reviews on successes,

challenges and strategies for improvement.

Niello Infiniti, Concord, Ca. Dec

2002-Aug

2004

Service Consultant

Consult and negotiate scheduled and unscheduled technical

repairs.

Convey technical repair information, urgency, and benefits

in an easy to digest manner.

Ensure maximum customer experience to establish

long-lasting relationships.

Consistently exceed service volume and customer

satisfaction KPIs.

Lead the department as acting manager during Saturday

business hours.



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