PROFESSIONAL EXPERIENCE
Senior Manager of Pharmacy Analytics | SmartLight Analytics | Plano, TX | January 2025 - Present
Reporting to Chief Operating Officer, this position entailed overseeing all design, development, and implementation of all pharmacy related functions within the organization that supported clients and their vendor partnerships, while growing the team.
Responsibilities
Appointed as the pharmacy subject matter expert, advising clients and internal teams on industry trends, clinical strategies, and client’s health plan pharmacy benefit design best practices.
Led a team of analysts and directed all pharmacy operations within the organization, ensuring operational excellence, strategic alignment, and continuous improvement in teams’ performance.
Contributed to developing analytical models to detect and prevent payment inaccuracies, fraud, waste, and abuse (FWA), and optimizing pharmacy reimbursement accuracy through data-driven insights and process improvements.
Translated complex financials, PBM contracts, business strategies, and utilization data into clear, actionable insights for internal leadership and external clients, including director-level and C-suite audience.
Accomplishments
Pioneered and built SmartLight Analytics’ PBM RFP practice from the ground up, successfully transitioning self-funded employers, from mid-sized organizations to Fortune 500 companies, to new alternative PBMs.
Redesigned internal pharmacy referral workflows and delivery processes, resulting in a 35% increase in guarantees achieved from total identified savings.
Managed Care Pharmacist | MultiCare Health Systems | Tacoma, WA | September 2021 - January 2025
Reporting to the Medical Director, this position managed the health systems’ employee health plan pharmacy benefit design and formulary coverage, while also engaging on populations arranged under value-based arrangements.
Responsibilities
Managed drug coverage benefits for MultiCare’s Employee Health Plan (EHP) covering 40,000 lives along with Ventegra, First Choice Health, and USI Insurance Services to optimize benefit structures for plan members.
Designed and implemented pharmacy initiatives like drug conversions, and patient/provider education programs to support value-based arrangements (VBA) where MultiCare assumed risk.
Performed pharmacy consultancy on pharmacy benefit management for other self-funded employer (provider) groups partnered with PSW and provided independent support for a PBM Request for Proposal.
Presented clinical programs and metrics/trends to chief medical officers, internal medical directors, AVPs, and VPs of pharmacy programs to ensure EHP and VBA work were strategically aligned with health systems’ pharmacy objectives.
Accomplishments
Delivered $1.8M in plan paid savings for MultiCare’s Employee Health Plan by optimizing the Wellness Drug List, strategically managing Brand coverage, and leveraging copay cards to offset reinstated cost-shares.
Audited GLP-1 utilization, revealing 20% use related to off-label weight loss. Implemented utilization management tools resulting in $1 million in annual plan paid savings.
Achieved a 65% conversion rate resulting a $596K cost-offset savings by implementing a therapeutic conversion strategy: DPP-4i to SGLT-2i, with or without GLP-1, increasing use of renoprotective drugs to reduce kidney disease progression, and cardiorenal related hospitalizations.
PGY1 Managed Care Pharmacy Resident | Kaiser Permanente | Renton, WA | June 2020 - June 2021
RPD: Beth Chester, PharmD, MPH, FCCP, BCPS and RPC: Yayoi Toyoda, PharmD, BCPS
Residency Program Highlights
Drug Utilization & Trend Management
Led utilization strategies such as Keytruda vial optimization and Vascepa to Lovaza conversion, resulting in an annual savings of $800,000 and $55,000, respectively.
Managed utilization of preferred long-acting injectable antipsychotics, implemented a conversion to Biktarvy, and transitioned to preferred mycophenolate formulation via cost-analysis and data analytics.
Clinical Pharmacy Practice
Managed patients with diabetes, hypertension, ASCVD, and asthma under a collaborative drug therapy agreement within the chronic disease management (CDM) program.
Performed post-hospital med reconciliations for high-risk patients to reduce readmissions and provided med management recommendations to healthcare providers prior to patients’ follow-up appointments.
Developed an in-house heart failure module to train clinical pharmacists in heart failure management.
Benefit Design & PBM Oversight
Performed a market analysis of competing Medicare Part D health plan’s coverage in WA state by reviewing Evidence of Coverage files and presented findings to the Medicare oversight team for determination of CY2022 health plan changes.
SPEAKING ENGAGEMENTS
High Quality Care Across Ages for Better Atopic Dermatitis Outcomes | GatherED by Impact Education | Virtual Session | January 2025
Leveraging Data Analytic Tools: Excel Essentials for Pharmacists | WSPA Annual Conference | Cle Elum, WA | November 2024
Navigating Market Complexities for adalimumab Biosimilars | Specialty Pharmacy Summit | Seattle, WA | July 2024
Population Health – Where to Begin and Where are We Going | WSPA Ambulatory Care Academy | Seattle, WA | December 2023
PROFESSIONAL AFFILIATIONS
Academy of Managed Care Pharmacy (AMCP) | Northwest Affiliate Member | July 2020 - Present
Held Board of Director roles with NWAMCP region, including Secretary (2025–2026), Secretary-Elect (2024–2025), Treasurer (2023–2024), and Membership Engagement (2020–2023).
EDUCATION
Doctor of Pharmacy (PharmD) | Washington State University | Spokane, WA
Bachelor of Science in Molecular Biology | University of Washington | Seattle, WA