Robyn Seely

I make patients happy with clinically appropriate care, and make PBMs happy with financially viable operations solutions. [email protected] MAJOR QUANTIFIABLE ACCOMPLISHMENTS Saved over $80 million annually through PBM operation management Raised several pharmacy-related CMS Star ratings by 2 points Raised Prior Authorization Inter-Rater Reliability (PA IRR) to 100% through peer training CORE COMPETENCIES Pharmacy Benefit Management (PBM) Medicare, Medicaid, Marketplace, & Commercial Drug Plans Specialty, Biologic, Oncology, & Medical Drugs Pharmacy & Specialty Drug Reimbursement Pharmacy & Medical Claim Interactions Manufacturer Rebates & Yearly Bidding Formulary Management Pharmacy & Therapeutics (P&T) Drug Utilization Review (DUR) Fraud, Waste, & Abuse (FWA) Prior Authorization (PA) Policy & Evaluations PA Dispute Administrative Law Judge (ALJ) Hearings Drug & Therapeutic Class Reviews Broker & Pharmaceutical Manufacturer Relations Services Contracting Vendor Management Client Management Relationship-Building Cross-functional Team Leadership Staff, Peer, Provider, & Executive Education and Training Peer-to-Peer (P2P) & Business-to-Business (B2B) consultations Legislative, Public, & Private Hearings and Testimony Customer Service Resolution of Escalated Concerns Clinical Data Management Health Information Technology (HIT) Pharmacy Information Systems (IS) Pharmacy Software As A Service (SaaS) Pharmacy Point of Sale Software (POS) Medicaid Management Information System software (MMIS) Drug Databases (Medispan, First Databank) National Council for Prescription Drug Programs (NCPDP) Standards File sharing Public & Proprietary Software, Portals, and Websites Microsoft Office Suite Staff, Leader, Subject Matter Expert (SME), Chair, Senior, Manager, Consultant, Director, Vice President EDUCATION, LICENSES, AND CERTIFICATIONS PharmD, Doctorate of Pharmacy, Northeastern University, Boston MA, 2009 BS, Chemical Physics, English literature minor, University of Utah, Salt Lake City, UT, 2004 Registered Pharmacist, Utah Registered Pharmacist, Arizona Registered Pharmacist, Massachusetts Pending Registered Pharmacist, Florida Pending Registered Pharmacist, California Certified Pain Management Specialty Pharmacist, PharmCon, 01/03/2020 Certified Project Manager, Business Value-Oriented Principles #29305, 04/16/2020 Certified in Business Leadership & Personnel Supervision, CFS, 2020 Pending Certified Scrum Master, CACI, 2020 Ongoing Centers for Medicare & Medicaid (CMS) Learning Network courses