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Conor Smith Resume MS 8-15

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Robert Conor Smith

Robert "Conor" E Smith has over 30 years of experience in various roles in the pharmacy industry including managed care, PBMs, retail pharmacy, and pharmaceutical sales. He is currently seeking a position as a medical science liaison or in specialty pharmacy, health economics, or outcomes research. His most recent role was as Director of Pharmacy at Magnolia Health Plan where he oversaw pharmacy programs and specialty, behavioral health, and retail pharmacy spend of $150M annually.

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ROBERT “CONOR” E SMITH, RPh 761 Rice Road #409 Ridgeland MS 39157 (215) 316-6659 irishrx@comcast.net - open to east coast relo TARGETING MEDICAL SCIENCE LIAISON - SPECIALTY PHARMACY- HEOR OPPORTUNITIES PROFESSIONAL SUMMARY  Health care executive with 30 years of experience in pharmacy industry and 15 years of experience in managed care including Specialty Pharmacy programs  Proficiency in understanding of Medicaid, Medicare, Market Exchange and Commercial insurance products  PBM experience with US Script, Medco Health Solutions, CVS Caremark, Prime Therapeutics, Argus and Rite Aid.  Managed teams of up to 30 people that included clinical and marketing staff  Academic counter detailing outreaches to providers  Marketing pharmaceuticals in retail and hospital territories with Glaxo Smith Kline and Eli Lilly for four plus years  Clinical pharmacy case Management-poly pharmacy Interventions.  Active role in RFP re-procurement work in securing new State Medicaid contract  Aligned Drug Utilization Review programs with Quality HEDIS measures to support performance for NCQA accreditation  Robust experiences working on pharmacy spend cost containment projects and initiatives at Magnolia Health Plan, UnitedHealthcare, Florida Blue and AmeriHealthMercyHealth Plan  Performed monthly drug regimen reviews to ensure Nursing Home regulatory compliance with State & Federal guidelines  Previous experience in Specialty Pharmacy, Retail, Hospital, Home Infusion, LTC Pharmacy, and pharmaceutical sales PROFESSIONAL EXPERIENCE Magnolia Health Plan (Centene Corporation), Jackson, MS 3/11-present Director of Pharmacy  Assisted in the development of business requirements as well as the IT implementation of the Common Unified Preferred Drug List for Centene Corporation’s PBM US Script and the Mississippi Division of Medicaid.  Responsible for oversight of Pharmacy Program and successful operation of Plan P&T Committee in conjunction with the VP of Medical Affairs, the Chief Medical Officer, and the CEO.  Oversight and management of Specialty, Behavior Health and Retail Pharmacy spend trending $150M annually.  Developed a deeper dive in DUR activity for greater alignment with HEDIS measures to earn NCQA accreditation for Medicaid and Market Place products.  Engaged in compliance with Division of Medicaid for State of Mississippi business expectations for a Uniform PDL.  Provide oversight of the designated PBM, US Script, and their delegated responsibilities and programming as it applies to PA requirements as well as safety-appropriate use edits.  Management of 8 team members including direct pharmacy care coordinators and PBM pharmacists .  Collaborated with Health Plan leadership through RFP re-procurement process in securing a new contract award from the State of Mississippi, Division of Medicaid.  Optimizing health economics with health plan in leveraging the recent completed Masters of Science degree in pharmacy outcomes with emphasis in Applied Pharmacoeconomics from the University of Florida.  Review and analyze pharmacy and utilization costs in reporting to senior leadership initiatives for cost-containment.  Monitor practitioner prescribing patterns and suggest corrective action, as appropriate, for providers identified with prescribing utilization as related to the quality of care and pay for performance(P4P) programs.  Greater collaboration with Medical Management and Quality in improving outcomes and health economics for our members. AmeriChoice-United Healthcare of PA and MD 2/08-4/09 Pharmacy Director (Company downsized)  Managed 6 direct reports.  Achieved PMPM targets of $80M annual spend for 2 health plans through utilization management of preferred drug formulary.  Established and maintained effective relationships with key customers (state agencies, network physicians, vendors) including visits to targeted physician practices and monitoring of regulatory requirements to assure compliance.  Processed monthly pharmacy performance through our PBM, Medco Health Solutions claim summaries of overall pharmacy spend; utilization; analysis of drivers of trend within therapeutic classes of drugs and develop recommendations to manage the costs to the Maryland and Pennsylvania Health Plans Senior Leadership.  Developed solutions through identification of pharmacy opportunities including Specialty Pharmacy management of injectables and infusion to influence cost and utilization trends.  National Synagis Operations Director 2008-2009 RSV season for AmeriChoice/United Healthcare
Blue Cross Blue Shield of Florida 9/05-2/08 Specialty Pharmacy Manager  Developed Specialty Pharmacy Initiatives that will enable comprehensive Specialty Pharmacy management solutions through implementing channel network management with deeper discounts, UM programs, and aligning benefit designs.  Finalized preferred network Hemophilia provider through vigorous RFP process, yielded $1M annual savings to plan.  Assisted in PBM transition. AmeriHealth Mercy Health Plan 4/02-9/05 Regional Pharmacy Clinical Projects Manager  Member of AmeriHealth Mercy Medicaid, Perform Rx Medicare Part D and Pennsylvania DPW-Preferred Drug List- Formulary P&T Committees.  Won Best Practices Award - 2002.  Performed Drug Utilization/Evaluation Review analysis of claims data through Argus Health Pharmacy Benefits Manager.  Responsible for clinical pharmacy case management.  Academic counter detailing and Formulary outreaches to providers.  Disease State Management initiatives.  Poly Pharmacy interventions. Omnicare Pharmacy Services 12/99-4/02 Consultant Pharmacist- Certified Geriatric Pharmacist Eagle Managed Care 1/96-1/00 Pharmacy Supervisor Greenwood Pharmacy/Thrift Drugs 1/93-1/96 Manager Wal-Mart 1988-1993 Pharmacy Manager HMSS-Homedco Infusion 1986-1988 District Sales Manager Eli Lilly and Smith Kline & French Labs 1982-1986 Senior Sales Representative Carlisle Hospital 1980-1982 Hospital Pharmacist/Evening Supervisor EDUCATION University of Florida College of Pharmacy, Gainesville, FL  Completed Masters of Science degree in Pharmacy July 2015 With emphasis in Applied Pharmcoeconomics Temple University, Philadelphia, PA  Bachelor of Science, Pharmacy June 1980 Community College of Pennsylvania  A.S., Chemistry June 1976 LICENSURE & CERTIFICATIONS  Licensed pharmacist in the states of Florida, Mississippi, and Pennsylvania  Certification in Geriatric Pharmacy- 2001  Certification in Applied Pharmacoeconomics-July 2015

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Conor Smith Resume MS 8-15

  • 1. ROBERT “CONOR” E SMITH, RPh 761 Rice Road #409 Ridgeland MS 39157 (215) 316-6659 irishrx@comcast.net - open to east coast relo TARGETING MEDICAL SCIENCE LIAISON - SPECIALTY PHARMACY- HEOR OPPORTUNITIES PROFESSIONAL SUMMARY  Health care executive with 30 years of experience in pharmacy industry and 15 years of experience in managed care including Specialty Pharmacy programs  Proficiency in understanding of Medicaid, Medicare, Market Exchange and Commercial insurance products  PBM experience with US Script, Medco Health Solutions, CVS Caremark, Prime Therapeutics, Argus and Rite Aid.  Managed teams of up to 30 people that included clinical and marketing staff  Academic counter detailing outreaches to providers  Marketing pharmaceuticals in retail and hospital territories with Glaxo Smith Kline and Eli Lilly for four plus years  Clinical pharmacy case Management-poly pharmacy Interventions.  Active role in RFP re-procurement work in securing new State Medicaid contract  Aligned Drug Utilization Review programs with Quality HEDIS measures to support performance for NCQA accreditation  Robust experiences working on pharmacy spend cost containment projects and initiatives at Magnolia Health Plan, UnitedHealthcare, Florida Blue and AmeriHealthMercyHealth Plan  Performed monthly drug regimen reviews to ensure Nursing Home regulatory compliance with State & Federal guidelines  Previous experience in Specialty Pharmacy, Retail, Hospital, Home Infusion, LTC Pharmacy, and pharmaceutical sales PROFESSIONAL EXPERIENCE Magnolia Health Plan (Centene Corporation), Jackson, MS 3/11-present Director of Pharmacy  Assisted in the development of business requirements as well as the IT implementation of the Common Unified Preferred Drug List for Centene Corporation’s PBM US Script and the Mississippi Division of Medicaid.  Responsible for oversight of Pharmacy Program and successful operation of Plan P&T Committee in conjunction with the VP of Medical Affairs, the Chief Medical Officer, and the CEO.  Oversight and management of Specialty, Behavior Health and Retail Pharmacy spend trending $150M annually.  Developed a deeper dive in DUR activity for greater alignment with HEDIS measures to earn NCQA accreditation for Medicaid and Market Place products.  Engaged in compliance with Division of Medicaid for State of Mississippi business expectations for a Uniform PDL.  Provide oversight of the designated PBM, US Script, and their delegated responsibilities and programming as it applies to PA requirements as well as safety-appropriate use edits.  Management of 8 team members including direct pharmacy care coordinators and PBM pharmacists .  Collaborated with Health Plan leadership through RFP re-procurement process in securing a new contract award from the State of Mississippi, Division of Medicaid.  Optimizing health economics with health plan in leveraging the recent completed Masters of Science degree in pharmacy outcomes with emphasis in Applied Pharmacoeconomics from the University of Florida.  Review and analyze pharmacy and utilization costs in reporting to senior leadership initiatives for cost-containment.  Monitor practitioner prescribing patterns and suggest corrective action, as appropriate, for providers identified with prescribing utilization as related to the quality of care and pay for performance(P4P) programs.  Greater collaboration with Medical Management and Quality in improving outcomes and health economics for our members. AmeriChoice-United Healthcare of PA and MD 2/08-4/09 Pharmacy Director (Company downsized)  Managed 6 direct reports.  Achieved PMPM targets of $80M annual spend for 2 health plans through utilization management of preferred drug formulary.  Established and maintained effective relationships with key customers (state agencies, network physicians, vendors) including visits to targeted physician practices and monitoring of regulatory requirements to assure compliance.  Processed monthly pharmacy performance through our PBM, Medco Health Solutions claim summaries of overall pharmacy spend; utilization; analysis of drivers of trend within therapeutic classes of drugs and develop recommendations to manage the costs to the Maryland and Pennsylvania Health Plans Senior Leadership.  Developed solutions through identification of pharmacy opportunities including Specialty Pharmacy management of injectables and infusion to influence cost and utilization trends.  National Synagis Operations Director 2008-2009 RSV season for AmeriChoice/United Healthcare
  • 2. Blue Cross Blue Shield of Florida 9/05-2/08 Specialty Pharmacy Manager  Developed Specialty Pharmacy Initiatives that will enable comprehensive Specialty Pharmacy management solutions through implementing channel network management with deeper discounts, UM programs, and aligning benefit designs.  Finalized preferred network Hemophilia provider through vigorous RFP process, yielded $1M annual savings to plan.  Assisted in PBM transition. AmeriHealth Mercy Health Plan 4/02-9/05 Regional Pharmacy Clinical Projects Manager  Member of AmeriHealth Mercy Medicaid, Perform Rx Medicare Part D and Pennsylvania DPW-Preferred Drug List- Formulary P&T Committees.  Won Best Practices Award - 2002.  Performed Drug Utilization/Evaluation Review analysis of claims data through Argus Health Pharmacy Benefits Manager.  Responsible for clinical pharmacy case management.  Academic counter detailing and Formulary outreaches to providers.  Disease State Management initiatives.  Poly Pharmacy interventions. Omnicare Pharmacy Services 12/99-4/02 Consultant Pharmacist- Certified Geriatric Pharmacist Eagle Managed Care 1/96-1/00 Pharmacy Supervisor Greenwood Pharmacy/Thrift Drugs 1/93-1/96 Manager Wal-Mart 1988-1993 Pharmacy Manager HMSS-Homedco Infusion 1986-1988 District Sales Manager Eli Lilly and Smith Kline & French Labs 1982-1986 Senior Sales Representative Carlisle Hospital 1980-1982 Hospital Pharmacist/Evening Supervisor EDUCATION University of Florida College of Pharmacy, Gainesville, FL  Completed Masters of Science degree in Pharmacy July 2015 With emphasis in Applied Pharmcoeconomics Temple University, Philadelphia, PA  Bachelor of Science, Pharmacy June 1980 Community College of Pennsylvania  A.S., Chemistry June 1976 LICENSURE & CERTIFICATIONS  Licensed pharmacist in the states of Florida, Mississippi, and Pennsylvania  Certification in Geriatric Pharmacy- 2001  Certification in Applied Pharmacoeconomics-July 2015