Consulting expertise
Specialty Drug Access
Prior authorization, denial management, appeals, step therapy, payer policy
PBM and Market Dynamics
Formulary optimization, drug utilization analysis, cost containment, PBM reform
GLP-1 and Obesity Policy
Coverage landscape, formulary positioning, Medicare GLP-1 Bridge
Healthcare Policy
Medicare Part D reform, IRA out-of-pocket cap, benefit design, drug spend analytics
Experience
MKC Strategic Solutions — Dearborn, MI
- Advises PE firms and life sciences companies on formulary design, drug spend optimization, and payer market dynamics through AlphaSights, GLG, Guidepoint, and Dialectica
- Publishes on PBM reform, GLP-1 policy, and prior authorization strategy in Pharmacy Times and Dispense Times; serves on the Dispense Times Editorial Advisory Board
Outcomes — Dearborn, MI
- Manage pharmacy benefit access and coverage strategy for 50+ provider accounts across Michigan, analyzing 1,100+ cases monthly to identify utilization trends and cost-containment opportunities
- Drove a 5% improvement in first-pass PA approval rates; risk-stratified 20–25% of caseload to reduce therapy disruptions and improve continuity of care metrics
- Serve as the territory payer intelligence resource, monitoring regional coverage changes, step therapy updates, and formulary shifts across commercial, Medicare, and Medicaid plans
OptumRx — Dearborn, MI
- Conducted high-volume benefit coverage determinations and appeal reviews for commercial and Medicare Part D lines, applying formulary criteria and utilization management policy
- Reduced provider resubmission rates by 18%; achieved 98% case resolution within 24–48 hour TAT benchmark across a metric-driven PBM environment
- Analyzed drug utilization patterns to identify recurring denial drivers and translate findings into actionable guidance for provider accounts
Sterling City Pharmacy — Sterling Heights, MI
- Resolved 300+ prior authorization, coverage, and reimbursement cases annually across commercial, Medicare, and Medicaid payers; maintained over 99% process accuracy
- Served as primary provider liaison, managing escalations and coordinating with payers and billing teams to resolve access barriers
CVS Pharmacy — Detroit, MI
- Increased vaccination uptake by approximately 40% across 35+ long-term care facilities through provider education and coordination
Publications and thought leadership
Dispense Times
Pharmacy Access and Reimbursement Advisor — Editorial Advisory Board, 2026 to Present
Expert consulting engagements
AlphaSights —
Real-time benefit verification platforms (CompleteBI, Infinitus, Surescripts): investor consultation on platform viability, PBM integration, and pharmacy adoption barriers (May 2026)
Dialectica —
Home infusion therapy market and HSA/FSA e-commerce landscape: strategic research consultations (2026)
Synquery —
Environmental monitoring vendor selection in compliance-critical settings (May 2026)
Education
PharmD, Doctor of Pharmacy
Chicago State University, Chicago, IL
MI License: 5302413176
BS, Biology
University of Michigan, Dearborn, MI
Certifications and honors
Board Certified Medication Therapy Management Specialist (BCMTMS) — 2024 to Present
Rho Chi Honor Society Inductee — Academic excellence and leadership
Affiliations
Dispense Times Editorial Advisory Board — Pharmacy Access and Reimbursement Advisor, 2026 to Present
Academy of Managed Care Pharmacy (AMCP) — Member, 2024 to Present
Active on AlphaSights, GLG, Guidepoint, Dialectica, and Techspert expert networks