Jason Cuaderes

Managed Care Pharmacy Executive with proven record of implementing programs that fit the needs of payers, Pharma, and PBMs by having appropriate and robust clinical strategy and sound policy. I have lead highly effective teams, have extensive experience in payer organizations, and have worked with several PBMs. Areas of expertise:• Academic Detailing • Pharmacy help desk/customer service operations• Pharmacy & Therapeutics committee (P&T) administration and participation• Quality improvement (including Medicare Part D Stars measures)• PBM relations and oversight• Pharma relations• Pharmacy contracting/network• Utilization management• Creating clinical criteria for drugs requiring prior authorization (PA)• Formulary Management• Medicare Advantage Prescription Drug (MAPD)• Pharmacy Benefit Design• Strategic Planning• Specialty Drug strategy• Health Economic Outcomes and ResearchAccomplishments:• I have successfully implemented PBM RFPs with large reductions in contracted financial terms• My past academic detailing efforts realized a significant PMPM reductions in key therapeutic drug classes• I have successfully implemented several specialty drug therapeutic classes utilization management programs with reductions in pharmacy and medical spend. • I have worked extensively to keep the Part D plan with which I lead the pharmacy team at 4.5 stars • I created and maintained dozens of specialty drugs utilization criteria• I met with Pharma representatives on a regular basis to engage and understand their perspecitve of the drug distribution process• I successfully led efforts to migrate to another PBM on three different occasions