Aetna Pharmacy Management
Industry: Managed care company
DescriptionAetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance plans and related services, such as medical, pharmaceutical, dental, behavioral ... Customer service: 1 (800) 872-3862 Headquarters: Hartford, CT CEO: Mark Bertolini (Nov 29, 2010–) Parent organization: CVS Health Number of employees: 49,828 (2017) Subsidiaries: Coventry Health Care, Aetna International Inc.,
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Aetna Pharmacy Management Employees
Nudge Games Inc. May 2014 - Present
Aetna Pharmacy Management August 2000 - April 2014
Prudential Healthcare August 1996 - August 2000
Cigna September 1991 - July 1996
Skills
Insurance, Healthcare, Health Insurance, HIPAA, Managed Care, Medicaid, Employee Benefits, Medicare, Pharmacy, Health Savings Accounts, Claim, Long-term Care, Disease Management, Healthcare Industry, Health Policy
Education
University of Colorado at Denver 1996 — 2001
Master's degree, Economics
North Dakota State University 1974 — 1977
Bachelor's degree, Pharmacy
Aetna Pharmacy Management November 2006 - Present
Skills
Project Delivery, Program Management, Resource Management, MS Project, Project Planning
Education
Minnesota State University, Mankato
BS
University of St. Thomas
Master of Business Administration (MBA), health care administration
Eli Lilly and Company March 2011 - April 2012
Accordant & Alere August 2009 - April 2010
CVS Caremark (Accordant) July 2005 - April 2010
Accordant Health Services April 2008 - August 2009
PharmaCare 2005 - 2007
Aon Consulting 2000 - 2005
Stuart Disease Management Services 1997 - 1998
Empire Blue Cross and Blue Shield 1995 - 1997
Aetna Pharmacy Management 1992 - 1995
Community Health Care Plan / Norwalk Hospital / Indiana University Hospitals 1985 - 1992
Skills
Strategy, Managed Care, Cross-functional Team..., Leadership, Disease Management, Healthcare, Wellness, Program Management, Product Management, Clinical Research, Medicine, Start-ups, Integrated Marketing, Product Development, Strategic Planning, Product Launch, Pharmacy, Change Management, Management, Pharmacy Benefit..., Pharmaceutical Industry, Enterprise Software, Analytics, Management Consulting, Healthcare Industry, Pharmacists, Diabetes, Oncology, Health Policy, Pharmaceutical Sales, Health Economics, Informatics, Process Improvement
Education
Northeastern University 1977 — 1983
Bachelor of Science, Pharmacy
Rensselaer Polytechnic Institute
Masters in Science, Management (Concentration in Marketing)
Prime Therapeutics January 2009 - Present
Prime Therapeutics July 2008 - October 2009
Aetna 2003 - 2008
Aetna Pharmacy Management 2003 - 2007
Ciba-Geigy 1982 - 1988
Skills
Pharmacy Benefit..., Managed Care, Health Insurance, Medicare Part D, Healthcare, Disease Management, Health Policy, Healthcare Industry, Leadership, Medicaid, Medicare, Pharmacy, Sales, Healthcare Consulting, HMO, Employee Benefits
Education
The University of Texas at Austin - The Red McCombs School of Business 1985 — 1987
Master of Business Administration (MBA), Business/Commerce, General
The University of Texas at Austin 1975 — 1977
BS, Pharmacy
Actavis Field Medical Affairs/inVentiv Therapeutic Institute April 2012 - August 2012
Boehringer Ingelheim Pharmaceuticals June 2010 - December 2010
Boehringer Ingelheim Pharmaceuticals 2007 - June 2010
Boehringer Ingelheim Pharmaceuticals 2003 - 2007
Boehringer Ingelheim Pharmaceuticals 1998 - 2003
Cardinal Health 1996 - 1998
Aetna Pharmacy Management 1994 - 1996
St. Ann's Hospital, Westerville, OH 1982 - 1994
Grant Hospital, Columbus, OH 1976 - 1982
Skills
Change Management, Oncology, Managed Care, Medical Affairs, Hospitals, Medicine, Pharmacy, Strategic Planning, Leadership, Management, Project Management, HIV, Training Delivery, Instructor-led Training, Pharmaceutical Industry, Pharmacists, Pharmaceutical Sales, Infectious Diseases, Psychiatry, Pain Management, Internal Medicine, Healthcare, Diabetes, Pharmacy Benefit..., Neurology
Education
University of Dayton 1984 — 1987
MBA, Business
The Ohio State University 1971 — 1975
BS, Pharmacy
Case Western Reserve University 1970 — 1971
Chemistry
Coram CVS/specialty infusion services February 2015 - Present
Remedi SeniorCare Pharmacy March 2014 - June 2014
Abington Memorial Hospital January 2014 - February 2014
Cigna Home Delivery Pharmacy January 2012 - January 2014
Capital BlueCross 2008 - 2009
Aetna Pharmacy Management 2007 - 2008
Express Scripts January 1997 - January 2002
Blue Cross of Northeaster Pennsylvania January 1994 - January 1997
BlueCross BlueShield of Missouri January 1991 - January 1994
The Prudential Insurance Company January 1990 - January 1991
Skills
Leadership, Sales Operations, Process Improvement, Contract Negotiation, Strategy, Training, Forecasting, Management, Budgets, Program Management, Business Analysis, Pharmacy, Healthcare Management, Project Management, Operations Management, Healthcare, Account Management, Supervisory Skills, Pharmacy Benefit..., Pharmacy Automation, IV, Home Infusion, TPNS, Infusion Pumps, Compounding, Aseptic Technique, Prescription Drugs, Formulary, Generic Drugs, Managed Care, Medicare, Health Insurance, Cross-functional Team..., Pharmaceutical Industry, Healthcare Industry, Team Building, Strategic Planning
Education
University of Phoenix 2003 — 2006
MBA, Business
University of Florida 1980 — 1984
BS, Journalism and Public Relations
Nova High 1976 — 1980
High School
CIGNA Healthcare September 2010 - Present
CIGNA November 2009 - September 2010
CIGNA January 2009 - November 2009
CIGNA Pharmacy Management August 2007 - January 2009
Aetna June 2003 - February 2007
Aetna Pharmacy Management 2003 - 2007
CIGNA March 2000 - May 2003
Rite Aid December 1983 - February 2000
Skills
Strategy, Project Management, Software Development, Information Technology, SDLC, Vendor Management, Pharmacy, Process Improvement, Business Analysis, IT Strategy, Program Management, Enterprise Architecture, Project Portfolio..., Business Intelligence, Visio, Change Management, Healthcare, Integration, Healthcare Information..., Leadership
Education
California University of Pennsylvania 1978 — 1982
Bachelor of Science (B.S.), Managment and Computer Science
Aetna Pharmacy Management March 1990 - Present
Eli Lilly and Company 1989 - 1990
Skills
Pharmacy Benefit..., Medicare Part D, Managed Care, Disease Management, Medicaid, Cardiology, Medicare, Clinical Research, Informatics, Pharmacists, Pharmacy, Pharmacy Automation, Oncology, Healthcare, Utilization Management, Medicine, Clinical Pharmacy, Clinical Trials, Medication Therapy..., Healthcare Industry, Healthcare Management, Diabetes, Healthcare Consulting
Education
University of Houston 1981 — 1983
Bachelor of Applied Science (BASc), Pharmacy
University of Houston
Biochemistry and Molecular Biology
Bristol-Myers Squibb July 2015 - Present
Boehringer Ingelheim October 2010 - July 2015
Daiichi Sankyo January 2006 - October 2010
Genzyme Biosurgery 2005 - 2006
GlaxoSmithKline June 1992 - February 2005
GSK 1992 - 2005
Diversified Pharmaceutical Services 1992 - 1998
Aetna Pharmacy Management 1987 - 1992
Skills
Managed Care, Pharmaceutical Sales, Neurology, Pharmaceutical Industry, Cardiology, Urology, Pharmacy Benefit..., Hospital Sales, Diabetes, Endocrinology, Market Access, Sales Effectiveness, Selling Skills, Gastroenterology, Pulmonology, Oncology, Sales Force Development, Dermatology, Product Launch, OB/GYN, Nephrology, Infectious Diseases
Education
Cardinal Stritch University 1995 — 1997
Bachelor of Science, Business
Prime Therapeutics April 2004 - Present
Aetna Pharmacy Management January 2001 - April 2004
MedAdvisor December 1997 - December 2000
PCS Health Systems January 1993 - December 1998
PCS Health Systems January 1993 - January 1998
Children's Hospitals and Clinics of Minnesota March 1986 - January 1993
Skills
Managed Care, Disease Management, Utilization Management, Pharmacy Benefit..., Clinical Trials, Pharmaceutical Industry, Medicare, Medicare Part D, Pharmacy, Medicaid, Healthcare, Pharmacy Automation, Healthcare Management, Pharmacists, Health Policy
Education
University of Minnesota-Twin Cities 1985 — 1988
B.S. Pharmacy
St. Olaf College 1980 — 1984
BA, Biology
Prime Therapeutics July 2012 - Present
Aetna Pharmacy Management August 2011 - July 2012
Aetna August 2007 - August 2011
Aetna Specialty Pharmacy March 2005 - April 2007
IVPCARE, A Walgreens Specialty Company 2007 - 2007
Skills
Managed Care, Disease Management, Utilization Management, Provider Relations, Pharmacy, Healthcare, Health Insurance, Healthcare Industry, Pharmacy Automation, Healthcare Consulting, Health Economics, Healthcare Management, Health Policy, Healthcare Information..., Cross-functional Team..., Pharmaceutical Industry, Pharmacy Benefit..., Clinical Pharmacy, Market Access, Clinical Research, Pharmacists, Oncology, Informatics, Diabetes, Medicine, Pharmacoeconomics, Clinical Development, Pharmaceutical Sales, Strategy
Education
University of Phoenix 2003 — 2006
Master of Business Administration (MBA), focus in Healthcare
University of Central Florida 1996 — 2000
Bachelor of Science (B.S.), Health Services Administration
Aetna Pharmacy Management August 1994 - Present
Aetna Specialty Pharmacy 1994 - May 2010
Prudential Healthcare November 1996 - August 1999
Prudential Healthcae 1996 - 1999
CIGNA Healthcare May 1992 - April 1994
CIGNA Healthcare February 1991 - May 1992
CIGNA Group Pension July 1985 - February 1991
Skills
PBM, Account Management, Pricing, Pharmacy Operations, Customer Relations, Managed Care, Pharmacy Automation, Customer Service, Pharmacy Benefit..., Health Insurance, Product Launch, Pharmacy, Management, Healthcare, Claim, Medicaid, Insurance, Employee Benefits, Medicare, Medicare Part D, Disease Management, Strategy, Health Policy, HMO, Utilization Management, PPO, Provider Relations, Healthcare Industry, Network Development
Education
Framingham State University 1981 — 1983
CIGNA Pharmacy Management 2007 - Present
Aetna Pharmacy Management 2005 - 2006
Aetna Pharmacy Management 2002 - 2005
Aetna Inc. 1999 - 2002
Aetna, Inc. 1989 - 1999
Ernst & Young 1981 - 1983
Skills
Pharmacy Benefit..., Strategic Planning, Project Management, Strategy, Financial Analysis, Healthcare, Leadership, Business Strategy, Management
Education
University of Rhode Island 1974 — 1978
BS, Business Administration - Accounting
East Capitol Street Consultants August 2001 - Present
GenerationsHP April 2009 - January 2011
Worldwide Employee Benefits Network September 2008 - January 2011
Aetna Pharmacy Management 2005 - 2005
CareFirst BlueCross BlueShield 2003 - 2005
SAS Institute 1998 - 2001
ValueRx (was Diagnostek, now Express Scripts through acquisitions) 1994 - 1996
PCS Health Systems 1990 - 1994
BlueCross and BlueShield of the National Capital Area (now CareFirst BlueCross BlueShield) 1974 - 1985
Skills
Organizational..., Training Delivery, Team Motivator, URAC Accreditation -..., RFP Project Management, Presentation Development, Pharmacy Benefit..., Employee Wellness..., Sales and Service Team..., Health Policy, Benefits Administration, Health Insurance, Conflict Resolution, Healthcare, Human Resources, Cross-functional Team..., Employee Benefits, Account Management, Training, Business Development
Education
Eastern University 1997 — 1998
Organizational Management
Indiana University Bloomington
Music, Business Administration
Northern Virginia Community College
Business
DKS Systems October 2014 - Present
Workface Inc. May 2014 - October 2014
Jacobs Management/Larson Boat Group September 2010 - March 2014
Korn/Ferry International January 2010 - September 2010
Jacobs Interactive & Genmar Holdings, Inc. October 2000 - January 2010
Cranespharmacy.com March 2000 - June 2000
MedAdvisors, Inc. 1999 - 2000
Adesso Specialty Services 1997 - 1999
Aetna Pharmacy Management 1989 - 1997
Skills
CRM, Public Relations, Leadership, Training, Management, Project Management, Marketing, Business Development, Marketing Management, Program Management, Advertising, Sales Management, Marketing Strategy, Sales, Corporate Communications, Customer Service, Marketing Communications, Visio, Online Marketing, Lead Generation, Negotiation, Strategic Planning, Start-ups, Entrepreneurship, Trade Shows, Account Management, Social Media Marketing, Customer Satisfaction, Time Management, Change Management, Budgets, WebEx, Software Documentation, Strategic Partnerships, Hands-on Training, Event Management, Non-profit Volunteer, HTML, Social Media, New Business Development, Friendly Personality, Contract Negotiation, Reliable, Motivated self-starter, Highly detail oriented, Highly personable, Dedicated Professional, B2B, Strategy, HMO
Education
Augsburg College
B.A., Mass Communications
St. Olaf College
Fine Arts
Independance Blue Cross September 2010 - Present
FutureScripts April 2007 - September 2010
Cigna Pharmacy 2007 - 2007
Aetna Pharmacy Management 1992 - 2006
Education
Philadelphia University 1976 — 1981
BS, Pharmacy
MPhA June 2009 - Present
MPhA Technician Academy August 2009 - August 2010
BioScrip,Inc. August 2005 - April 2009
Aetna Pharmacy Management September 2003 - July 2005
McKesson Medication Management-PACT August 2001 - February 2003
McKesson Med Management-PACT 1991 - 2003
Skills
Pharmacy Benefit..., Pharmacy, Pharmacy Automation, Hospitals, Medicaid, Managed Care, Medication Therapy..., Healthcare, Regulatory Affairs, Training, Medicare, Community Pharmacy, Medicare Part D, Disease Management, Pharmacists
Education
Century College
AAS, Pharmacy Technology
Century College
AA
Aetna Pharmacy Management July 2013 - November 2013
Aetna Pharmacy Management February 2003 - July 2013
Aetna Pharmacy Management August 1999 - February 2003
Prudential Healthcare 1985 - August 1999
Skills
Pharmacy Benefit..., Clinical Programs, Managed Care, Medicare Part D, Pharmacy, Disease Management, Project Management, Utilization Management, Facilities Management, Outcomes Reporting, Financial Management, Regulatory Compliance, Business Needs Analysis, Root Cause Analysis, Vendor Relations, Presentations, Pharmacy Automation, Healthcare, Process Improvement, Dashboard
Education
The University of Texas at Austin
BS, Pharmacy
Aetna Pharmacy Management
Skills
Process Improvement, Managed Care, Project Management, Business Analysis, Insurance, Health Insurance, Leadership, Pharmacy Benefit..., Strategic Planning, Healthcare Industry, Healthcare, Health Policy, Cross-functional Team...
Education
University of Dayton 1976 — 1980
Bachelor's degree, Foods, Nutrition, and Wellness Studies, General
Target Pharmacy January 1994 - Present
Caremark January 2011 - May 2013
CVS Caremark Corporation 2011 - 2013
Aetna Pharmacy Management May 2000 - January 2011
Aetna March 1999 - April 2000
Aetna Pharmacy Management January 1999 - January 2000
Skills
Medicare, Pharmacy, Pharmacueticals, Software Documentation, Prescription, Claim, Healthcare Information..., Databases, Auditing, Security, Time Management, Troubleshooting, Long-term Care, Policy, Insurance, Managed Care, Healthcare
Education
North Hennepin Community College