RICK D. RAWLINGS, MS, RPH
Phoenix, AZ ***** 502-***-****
******@*****.*** www.linkedin.com/in/rickrawlings/ ASSOCIATE PHARMACY DIRECTOR
Build Relationships & Lead Pharmacists to Develop Solutions that Optimize Patient Outcomes & Drive Cost Efficiency, Quality & Compliance Experienced pharmacist and medical science liaison with advanced skills in various practice settings and therapeutic expertise in cardiovascular, diabetes, neurology and pain. Collaborative leader adept at providing divisional-level pharmacy support for all components of Medicare Part D within large national managed care organizations. Analytical problem solver recognized for solid business results and clinical insights. Pharmacy Benefit Management (PBM) Managed Care Pharmacy Team Leadership Medicare Part D Formulary Development & Build Medicare Product Bid Population Health Training & Development Written & Verbal Communication Process Improvement Data Analysis PROFESSIONAL EXPERIENCE
HUMANA INC., Phoenix, AZ 2008 - Present
Associate Pharmacy Director, Western Segment
Lead team of 8 pharmacists as direct reports (hire, train, develop). Oversee segment-level pharmacy support for Medicare Part D and pharmacy trend, spend and benefit design for Western Segment (9 regions - 32 states) for Medicare Part D - MA-PD and PDP plans.
• Helped drive average of 10% YOY membership growth by developing and supporting relationships and strategies with Medicare divisional and regional leadership and medical directors.
• Provided divisional and corporate support / execution for STARS and quality initiatives and programs, resulting in 95% of members in 4 + STARS plans in 2023.
• Reviewed drug-specific clinical literature and pharmacoeconomic analyses for formulary tier placement that align with specific benefit structures and plans, facilitating Tier 1 and Tier 2 zero-dollar copays in most plans and subsequent mail order growth on average of 3-5% YOY.(2020 - 2021).
• Built, launched and supported corporate pharmacy interventional programs at Medicare market level, including developing 100-day supply strategy that now covers 30% of all members with expansion to national coverage in 2024, prospectively lifting adherence rates by 2-3%.
• Performed actionable financial and utilization analyses of drug spend to Medicare Markets, creating accompanying strategies for identified needs from data.
• Provided physician and member-level reports, programs and interventions, covering 67% of MA members through value-based care model. (5.5% YOY growth for 2021 - 2022)
• Delivered 6.5% and 2.63% higher SUPD and SPC completion rates in 2022 by developing and implementing solutions and strategies to promote cost-effective drug utilization and adherence.
• Functioned as clinical expert for patient-specific drug use for Western Division Medicare Part D plans and value- based providers, decreasing utilization by 3% for value-based physicians versus non-value based. ADDITIONAL RELEVANT EXPERIENCE
PFIZER US PHARMACEUTICALS, New York, NY
Senior Institutional Clinical Education Manager (MSL), Louisville, KY Director of Training, Clinical Education Consultants (MSL) Pfizer Clinical Education Consultant (MSL), Cincinnati, OH BOTSFORD GENERAL HOSPITAL, Farmington Hills, MI
Director of Clinical Pharmacy Services
WILLIAM BEAUMONT HOSPITAL HOME CARE, Southfield, MI Home Infusion Clinical Pharmacist
LAKELAND REGIONAL HEALTH SYSTEMS: MERCY MEMORIAL MEDICAL CENTER, St. Joseph, MI Clinical Pharmacist
RICK D. RAWLINGS ******@*****.*** PAGE TWO
TEACHING EXPERIENCE
− Adjunct Clinical Faculty, University of Kentucky - College of Pharmacy
− Adjunct Clinical Faculty, Ohio Northern University - College of Pharmacy
− Adjunct Clinical Faculty I, University of Michigan - College of Pharmacy
− Adjunct Clinical Faculty, Ferris State University - College of Pharmacy AWARDS AND LEADERSHIP
− Published 10 posters presented at national meetings for pharmacists and nurse practitioners
− Published 2 articles in peer-reviewed journals
− Vice Presidents Management Council (VPMC): Highest recognition award within Pfizer
Criteria: Top 1% for business planning, customer recognition, peer recognition and overall performance
− F.I.R.S.T. In Class (Focusing on Individual Results of Selected Targets)
Pfizer award recognizes Top 10% of MSL’s for exceptional performance
− Value Makers: Awarded to Top 10% of MSL’s in Pfizer
Must exceed competitors’ customer survey scores for assigned accounts and attain at least 100% on Performance Index
− TACU of the year for Great Lakes Region: awarded to top business unit in region, Cincinnati, OH, Pfizer
− ASHP Student Leadership Award, Ferris State University
− Rho Chi Honor Society and Phi Theta Kappa Honor Society MILITARY SERVICE
− US Army - Military Police
− Overseas Service - Korea
− United States Military Academy - Stationed at West Point, NY
− Honorably Discharged
EDUCATION AND TRAINING
− Master of Science (MS), Health Services Administration, Central Michigan University, Mount Pleasant, MI
− Consultant Pharmacist Certificate, Purdue University, West Lafayette, IN
− Bachelor of Science (BS), Pharmacy - Highest Distinction, Ferris State University, Big Rapids, MI
− Associate of Arts (AA), General - Magna Cum Laude, St. Clair Community College, Port Huron, MI MEMBERSHIPS / ASSOCIATIONS
− 18-Time Full Ironman Triathlon Finisher
− Academy of Managed Care Pharmacy
− American Society of Health Systems Pharmacists
− Kentucky Society of Health Systems Pharmacists
− Southeastern Michigan Society of Health Systems Pharmacists
Elected Chairperson of Professional and Legal Affairs Committee
− Pi Kappa Alpha Fraternity
LICENSES
− Michigan Registered Pharmacist - 530-***-****
− Kentucky Registered Pharmacist - 014378
− Arizona Registered Pharmacist - S017756