Director of Pharmacy Services at ArchCare Managed Care Health Plans
Greater New York City Area
ArchCare
Director of Pharmacy Services
January 2014 to Present
Prescription Corporation of America
Clinical Initiatives Manager
August 2013 to January 2014
Express Scripts
Clinical Rules Specialist
October 2012 to August 2013
Walgreens
Pharmacist
August 2009 to September 2012
Walgreens
Pharmacy Intern
September 2003 to August 2009
• Oversee all aspects of Pharmacy Services, including clinical, operational, financial, quality, compliance, and PBM oversight • Successfully develop and implement clinical and pharmacy initiatives to ensure appropriate medication utilization, lower prescription drug spend, and improve quality • Utilization review and formulary management • Manage pharmacy benefits for Medicare Part D, Fully Integrated Duals Advantage (FIDA) /... • Oversee all aspects of Pharmacy Services, including clinical, operational, financial, quality, compliance, and PBM oversight • Successfully develop and implement clinical and pharmacy initiatives to ensure appropriate medication utilization, lower prescription drug spend, and improve quality • Utilization review and formulary management • Manage pharmacy benefits for Medicare Part D, Fully Integrated Duals Advantage (FIDA) / Medicare-Medicaid Plan (MMP), and Program of All-Inclusive Care for the Elderly (PACE) plans • Support internal departments, including Clinical Operations, Member Services, Sales, and Account Management
What company does Roman Krupar, PharmD, RPh work for?
Roman Krupar, PharmD, RPh works for ArchCare
What is Roman Krupar, PharmD, RPh's role at ArchCare?
Roman Krupar, PharmD, RPh is Director of Pharmacy Services
What industry does Roman Krupar, PharmD, RPh work in?
Roman Krupar, PharmD, RPh works in the Pharmaceuticals industry.
📖 Summary
• Doctor of Pharmacy (PharmD), Registered Pharmacist in New York and New Jersey • Leadership-level Managed Care and PBM experience managing Medicare Part D, Medicare-Medicaid Plan (MMP), PACE, and commercial insurance plans • Successfully developed and implemented initiatives to ensure appropriate medication utilization, lower prescription drug spend, and improve quality • Strong clinical background and analytical skills • Experienced, knowledgeable, and highly motivated • Retail pharmacy experienceDirector of Pharmacy Services @ • Oversee all aspects of Pharmacy Services, including clinical, operational, financial, quality, compliance, and PBM oversight • Successfully develop and implement clinical and pharmacy initiatives to ensure appropriate medication utilization, lower prescription drug spend, and improve quality • Utilization review and formulary management • Manage pharmacy benefits for Medicare Part D, Fully Integrated Duals Advantage (FIDA) / Medicare-Medicaid Plan (MMP), and Program of All-Inclusive Care for the Elderly (PACE) plans • Support internal departments, including Clinical Operations, Member Services, Sales, and Account Management From January 2014 to Present (2 years) Clinical Initiatives Manager @ • Developed prior authorization criteria and reviewed PA requests • Managed clinical programs to lower prescription drug spend • Collaborated to develop disease management programs • Prescription utilization review and plan design recommendations • Developed and implemented formularies and preferred drug lists • Provided clinical and operational support for commercial clients, Medicare plans, and 340B program From August 2013 to January 2014 (6 months) Clinical Rules Specialist @ • Supervised systems integration projects • Evaluated clinical service requests and provided drug coverage recommendations • Ensured prescription benefits were clinically and operationally appropriate • Interfaced with client’s clinical staff and internal departments • Managed clinical programming related to prior authorization, step therapy, copayment, early refills, dose limits, and quantity limitations • Implemented utilization management edits for Medicare and commercial clients • Resolved client audits From October 2012 to August 2013 (11 months) Pharmacist @ • Filled and verified prescriptions for accuracy • Vaccinated patients • Consulted patients and physicians regarding pharmacotherapy • Supervised pharmacy technicians and interns • Coordinated blood pressure clinics and medication reviews • Provided Medication Therapy Management (MTM) services on Outcomes and MirixaPro MTM platforms From August 2009 to September 2012 (3 years 2 months) Pharmacy Intern @ • Assisted pharmacist in dispensing prescriptions • Trained and supervised new pharmacy staff • Participated in blood pressure clinics and medication reviews • Counseled patients on vitamins, medications, herbals, and supplements From September 2003 to August 2009 (6 years) Doctor of Pharmacy (PharmD), Pharmacy @ Long Island University, Brooklyn Campus From 2003 to 2009 Roman Krupar, PharmD, RPh is skilled in: Pharmacists, Pharmacy, Pharmacy Benefit Management, Managed Care, Clinical Pharmacy, Medicare Part D, Medication Therapy Management, Clinical Pharmacology, Medicare Prescription Drug Plans, Pharmacology, Medicare Advantage, Immunization, Pharmacy Automation, Patient Counseling, Hospital Pharmacy
Extraversion (E), Sensing (S), Feeling (F), Judging (J)
2 year(s), 6 month(s)
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