Pharmacy benefits

Darlene M. Mednick, RPh, FAMCP

**** **** **** ****** ***** West Seneca, NY c: 914-***-**** e: ***************@*****.*** Pharmacist Business Professional Managed Care Expert Specialty Pharmacy Medicare D Managed Markets and Healthcare Communications Agency Experience MANAGED CARE / MARKETS / MANAGEMENT PROFESSIONAL

Retail Pharmacy Temporary, Health Care & Managed Markets Expertise New Product Development & Project / Portfolio Management Relationship Management/Building & Proven Start-Up Experience Strategic Thinker

Consulting Expertise

Versatile, results-driven professional with over 25 years experience within various segments of Managed Care Markets to include pharmacy vs medical benefit, reimbursement with impacting health economics and channel strategy differences. Outstanding relationship-builder, skilled at rapidly gaining and maintaining the trust of key decision makers, including C-level executives. Proven management and leadership skills. Nationally recognized and respected managed care pharmacy professional. Successful in start-up operations and leadership of change initiatives and value-added enterprise solutions including New Product Development, and establishment of Project Management Offices (PMOs). Extensive operational, Managed Care / Markets and administrative management experience, from different perspectives with an outstanding record of developing and implementing new concepts that deliver business results. Collaborative leadership style with ability to identify and develop talent within an organization. Proficient in team building, conflict resolution, group interactions and budget management. Strong negotiation skills with an ability to gain acceptance from others of a plan or idea, and achieve a mutually beneficial outcome. Always willing to go beyond a job description to accomplish personal and company goals.

PROFESSIONAL EXPERIENCE

MAZE Healthcare Communications June 2010 to present Vice President, Pharmacy Benefit Management and Health Economics Paramus, NJ Responsible for new business and product development for managed markets and training groups within pharmaceutical industry. Providing support on product strategy, reimbursement, pricing and contracting, key messages, value propositions, and health economics (budget-impact models, etc.) Expertise in pharmacy benefit design for commercial, managed care and Medicare lines of business.

Torre Lazur Managed Markets September 2009 to May 2010 Vice President, Group Account Supervisor Parsippany, NJ Responsible for leadership and management of account team members, and development and implementation of strategy for client management and account profitability. Also handled direct client support/relationship-building for products in various therapeutic areas, as well as providing expertise on all parts of Medicare. Developed and provided strategic concepts for services and programs to increase successful collaboration between the brand and managed markets team with their payer/provider customers. Provided all levels of assistance with managed markets strategy development, market research and design of pharmacoeconomic studies and Budget Impact Models. Experienced in development of strategies and tactics at all phases within the lifecycle of a product. Internal expert on Medicare and Managed Medicaid. Experienced in conducting “insight mining” or very targeted market research of Managed Care Executives; successful due to situation and market fluency. Development of managed marketing value propositions and Account Manager training including WebEx training, objection handlers/ communication aides, and disease primers. Also responsible for training colleagues on managed care with TLMM and also to the larger professional agency, Torre Lazur McCann. Recognized for development of the “pitch process” to improve quality, communication and effectiveness of the team. Served as a member of the New Business Development team responsible for development and implementation of tactics/initiatives; using my professional network and strategic prospecting. Assisted with many Torre Lazur McCann Healthcare (a division of Interpublic Group) clients when Managed Markets expertise was needed. Brands and therapeutic areas: Oncology, MS, RA, Respiratory, Adherence, CNS, HIV, vaccines, epilepsy, cardiovascular diseases, pain management, anti-infectives, and dermatology. CareMed Specialty Pharmacy August 2008 to September 2009 Senior Vice President, Strategic Business Development Consultant Managed Markets Lake Success, NY Branding, recognition and marketing of a new Specialty Pharmacy company to the Managed Markets, and identifying clients where programs and services would be beneficial to their organization. Developed a 5-year strategic plan for the company utilizing and understanding the trends for Specialty Pharmacy handling and reimbursement (medical vs. pharmacy benefit), and taking into consideration the Specialty drug products pipeline of pharmaceutical companies. Developed and integrated this into messaging and branding for marketing and recommendations for their growth strategy. In addition, development and marketing of specific programs to serve managed care organizations; especially health plans. Successfully obtained ACHC accreditation to strengthen and emphasize quality of organization; and will pursue URAC accreditation standards developed specifically for Specialty Pharmacy. Interface with clients and potential clients to provide new programs to help manage pharmacy and medical costs. Gorman Health Group November 2007 to December 2008 Vice President/Senior Consultant Washington, DC

Developed an expert group of 1099 pharmacy and health care consultants with expertise in key pharmacy and e-health areas to supplement or serve on projects that required their specific expertise. Also, responsible for selling-in existing products or services, and working on projects where my knowledge and expertise matched client needs. Including being part of a cross-functional project team responsible for the start-up of a Medicare Advantage Health Plan in Ft. Worth, TX. This ranged from development of the RFP for PBM services, to analysis of the responses, and then recommendation to the client of appropriate vendor/partner and selection. Worked with client and various vendors throughout 2008 to assist with implementation and training of new staff on CMS requirements for Part D.

Touchstone Health Plan January 2007 to November 2007 Vice President/Chief Pharmacy Officer New York, NY Leadership of the Pharmacy Services department for the Medicare Advantage plan and Part D offering, including Coverage Determinations, CMS Compliance, evaluation and selection of a new PBM, reconciliation of enrollment and PDEs for first year of program, and co-chair of P&T Committee. Member of the cross-functional group responsible for the development of the plan’s offerings for next contract year, the Quality Review Committee, Medical Advisory Board, and co-chair of the MLR Committee. Navitus Health Solutions, LLC December 2004-March 2006 Senior Vice President and COO Madison, WI (temp relocation) Responsible for the start-up operation of a privately held PBM. Two health plans owned 50% of the entity and inexperienced team from clinical pharmacy. The pharmacy departments were located in different geographic location. Driven by the Wisconsin Employee Benefit Trust Fund (the largest benefit fund in the US); so our primary client. Developed with the Governor of Wisconsin, Jim Doyle, for development and implementation of a discount prescription drug card program in less than 3 months; and arranged all PR for press conferences to announce the program in 3 different cities across state. Responsible for development of an effective organization; including key divisions and departments to support development of any new PBM products, services and offerings. Responsible for formation of the Marketing department and development of the company’s branding and all associated materials, including building signage and advertising, responsible for leading the RFP responses or pitch meetings.

Led the planning, development and implementation of 13 clinical programs (utilization and health management) within 16 months. Responsible for the restructuring of the Clinical Services department, including review of the composition and operations of the P&T Committee to ensure compliance. Responsible for implementation of a New Product Development process; including portfolio management and resource allocation across the organization, and the prioritization of the development of new clinical programs. Responsible for leading the recruitment, selection/staffing and development of all staff in the Health Businesses Strategies Division comprised of 8 departments: Health Informatics, Account Management, Human Resources, Marketing, Clinical Services, Pharmacy Provider Networks and Pharmaceutical/Trade Relations. Led the development of a Human Resources department and the migration of employees to one benefits and payroll system, including development and implementation of Employee Handbook (policies and procedures).

Point-of-Care Partners January 2004-December 2004

Managed Care Consultant

Consultant for client projects focused on e-prescribing and EMRs. Primary researcher for the development of standards for electronic prior-authorizations; managed care trends and market research and analysis. Medco September 1996-2003

Franklin Lakes, NJ

Vice President, Clinical Program Operations

Vice President, Health and Utilization Management

Vice President, New Product Development

Vice President, Pharmacy Relations

Designed and implemented a New Product Development process including portfolio management, which resulted in savings of

$10MM in IT development resources/costs in first year. Created a PMO (project management office) charged with training / education and communication on NPD process and the project planning, management and facilitation of cross-functional teams. Management of the senior executive committee, responsible for portfolio management and phase reviews of the development teams’ business plans. Responsible for marketing and all aspects of the product line strategies and P&L responsibilities for a department of 85 professionals charged with product development and management of Merck-Medco’s utilization management (DUR and Formulary) and health

(disease) management programs.

Responsible for start-up of a new department with groups taken from various areas across the organization, and creating a strategy for the operational support of the health and utilization management programs, and getting involved sooner in the development process. Prudential Pharmacy Management 1992-1996

Roseland, NJ

Vice President, Pharmacy Operations

Various positions of increasing responsibility focused on pharmacy benefit management for 48 health plans (IPA and Group Model / Hybrid) and the Indemnity plan for Prudential Insurance Company. A member of the team responsible for determination of need and creation of the subsidiary responsible (Prudential Pharmacy Management) providing internal PBM capabilities within Prudential HealthCare. Also responsible for working with the Managed Medical teams at each health plan to educate them on PBM activities, then charged with recruiting, hiring, training and managing the plan-level Pharmacy Directors and Clinical Pharmacists.

Member of the National P&T Committee

Chair, National Pharmacy Systems Committee

HIP of GREATER NEW YORK, NEW YORK, NY 1986-1992

New York, NY

Associate Director, Corporate Pharmacy Programs 1989-1992 HMO Pharmacy Supervisor 1987-1989

HMO Staff Pharmacist 1986-1987

Responsible for management of in-house pharmacies in 13 medical groups and for all aspects of start-up of new pharmacies in group model plans/practices; including hiring, training, systems development and design of computer system including the beta testing/pilot and implementation/rollout of in-house dispensing, reporting, injectables and inventory systems. Community Pharmacy Practice 1980-1990 / 2008 to present

Chain, Independent and Nursing Home Consulting

EDUCATION AND PROFESSIONAL AFFILIATIONS

Bachelor of Pharmacy Creighton University - 1980 Masters Business Administration Rochville University - 1998 Doctorate, Health Care Management Rochville University - 2006 Masters in Pharmacoeconomics Rochville University - 2009 FMCP Steven G. Avey Lifetime Achievement Award Recipient April 2007 Fellow, Academy of Managed Care Pharmacy (FAMCP) April 2003 FMCP Education and Research Committee April 2007 to present FMCP Founders’ Circle 1999 to present

Appointed to FMCP Specialty Pharmacy Governing Board October 2008 to present AMCP Committee on Nominations Oct 2004 - Jan 2005

ACMP Committee Fellowship Nominations Oct 2003- 2006 Judge, FMCP National P&T Competition April 2002 - 2010 Judge, AMCP Student Chapters P&T Competition February 2001 to present FMCP Education Committee March 2008 to present

FMCP Governing Board Appointment Specialty Pharmacy Oct 2008 to present NABP, Committee for Continuing Professional Development December 2003 - 2004 New Product Development Professional Certification (PDMA) December 1999 Professional, Academy for Healthcare Management (PAHM) April 1998 AMCP Spirit of Volunteerism Leadership Award April 2002 AMCP Visionary Award – Sapphire October 2011

Journal of Managed Care Pharmacy Editorial Advisory Board Member 1998-2002 Peer-Reviewer, JMCP 1999- 2008

Membership Committee and Chair 1992-1995

AMCP Professional Practice Committee Chair 1995-1996 AMCP Board of Directors 1995-1997

AMCP Legislative Committee Member 1997-1998

LICENSED PHARMACIST: NEW YORK (037716-1)

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