Kimberly Raymer
Allen Texas **013
********@*****.***
SUMMARY OF QUALIFICATIONS
HEALTHCARE EXECUTIVE WITH 9-YEARS MEDICAL SALES EXPERIENCE WORKING WITH MANAGED CARE ORGANIZATIONS, IPAS, PHARMACY BENEFIT MANAGEMENT ORGANIZATIONS, SPECIALTY PHARMACIES, HOSPITAL CEO’S, AND ADMINISTRATORS
PROVEN ABILITY TO RAPIDLY ESTABLISH AND MAINTAIN LASTING RELATIONSHIPS WITHIN ORGANIZATIONS
OUTSTANDING ANALYTICAL AND COMMUNICATION SKILLS
DEMONSTRATED SUCCESS IN DEVELOPING AND IMPLEMENTING STRATEGIES FOR CONTRACT NEGOTIATIONS WITH MANAGED CARE COMPANIES
CONSISTENTLY PRODUCED OUTSTANDING RESULTS THROUGH SUCESSFUL STRATEGIES, TACTICS, AND CLOSURES
Experience
Pacific Pulmonary Services
www.ppsc.com 2008 to Present
National Director of Contracting Sales
Hired and trained six Regional Contract Managers and three Contract Coordinators
Managed the contract development and implementation with key customers including Managed Care HMOs, PPOs, POSs, PBM and major healthcare insurers including (Humana, BCBS, Aetna, United Health Care, Kaiser, Mercy Health Plan & Cigna) MMS, Part D Plans, Group Purchasing Organizations contracting for Hospitals, Long-Term Care facilities, and alternative caregivers Federal and State Government entities including Medicaid, Medicare, Public Health Services, Veteran’s Administration and Department of Defense
Collaborated with colleagues across multiple departmental areas such as, Legal, Sales, Marketing, Regulatory, Audit (and other departmental functions) to develop and implement Managed Care Contracts that are compliant with all internal and external guidelines and policies
Created extensive Contracting data base with over 475 Managed Care and Pharmacy contracts so we could provide documentation regarding contracted rates, authorizations, deductibles, in-network benefits to reimbursement, sales and operations
Obtained over 76 New Managed Care and Pharmacy contracts with in the first 13-months
Maximized Managed Care sales through the development of leads and the negotiation of execution of “profitable” Managed Care Contracts
Worked with closely with our sales department to develop and implement Strategic Territory Initiatives in order to maximize sales and performance in each region
Increased average contracted rate of reimbursement 200%
Exceeded annual goal in 2009 by $2 Million for contract growth
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Fidelis Secure Care 2006 to 2008
National Director of Sales
www.fidelissc.com
Promoted Special Needs plan, licensed by Medicare, to insure and provide medical care for frail residents of nursing homes by providing physician visits, hospitalizations and prescription drugs
Responsible for all contracting of nursing facilities as well as clinical providers in newly opened Texas market
Responsible for sales, clinical contracting and member enrollment
Signed 12 contracts within the first 6 months one was a $4 Million dollar contract
Established solid working relationship with CEO of our MD partner, a key component of nursing facility contracting
Walgreens Specialty Pharmacy
www.walgreens.com 2005 to 2006
National Contracting Manager/Specialty Sales Representative
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Exceeded Annual Sales Quota (2 Consecutive Quarters)
Promoted the use of Injectable Biologics and HIV agents to targeted Specialists within the Houston market
Responsible for contracting with strategic Managed Care Organizations
Actively leveraged physician relationships within the therapeutic areas of : HIV, Rheumatoid Arthritis, Multiple Sclerosis, and Hepatitis
Maxor National Pharmacy PBM/IV-Solutions
www.ivsolutions.com 2001 to 2005
National Director of Business Development
Opened a “Specialty Pharmacy” into a profitable organization within the first year of business
Recognized by Top Leadership for Exceeding Sales Expectations revenue growth in last 2 years greater than 22% per year
Identified and cultivated relationships with targeted accounts to drive new business sales for Specialty Pharmacy
Developed and facilitated over 300 new Managed Care/PBM contracts
Designed Custom prescription drug plans with multiple co-payment options
Presented RX Carve out programs fee for service RX programs, preferred drug formulary’s to clients
Brought 33 new requests for proposals for PBM (3,330,000 Lives)
Worked with Major accounts to pull through the coverage of specialty medications under patient’s pharmacy benefit plan
Worked closely with Pharmaceutical companies developed relationships to endure rebates and physician referrals
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Education
McNeese State University
Delta Technical Institute
Associate Degree Applied Science
Awards
Maxor National Pharmacy: Employee of the year 2004
Pacific Pulmonary Services: Outstanding Performance 2008