Alvana Nicaj Maliqi
US Market Access Strategist | Commercialization Planner | Managed Care Pharmacist | AI Enthusiast | Skin Health Enthusiast
- Role
- Associate Director, Value and Access Strategy, Commercial Consulting at Cencora
- Location
- Tampa, FL, US
- LinkedIn followers
- 500 followers
About Alvana Nicaj Maliqi
Alvana Maliqi is a licensed pharmacist in the US with specialized post-doctoral residency training in Managed Care Pharmacy coupled with an MBA degree enabling a well-rounded deep clinical and business perspective.Leveraging her former payer experience as the foundation, she helps life science companies effectively develop market access strategies and tactics to position and communicate value of their products to payers (health plans, PBMs, health systems). Her passion for the field of pharmacy coupled with her multi-faceted background provide for a unique perspective on managed care issues.She is passionate about growth, mentoring and efficiency, connecting people and businesses to do better and do faster. And most importantly she is a mom of a young girl and boy that she is the most proud of! Core Competencies: PARENTING • Multitasking patient servant leader and role modeler US MANAGED MARKETS/ MARKET ACCESS STRATEGY• Payer AOR account lead management • Individual consulting project lead• Commercialization strategy • Pre-approval Information Exchange (PIE) expert• Market and competitive landscape assessment• Competitive simulation workshop facilitation • Brand positioning• Value proposition development• Brand tactical planning • New business development• Workshop moderation/facilitation• Training facilitator• Market research insights generation and reporting• [Health Plans, PBMs, Health-Systems, Retail Pharmacy, Employers Sector] PAYER MARKET RESEARCH• Qualitative and quantitative market research• Design, recruitment, execution, reporting - end-to-end • Payer Key Opinion Leader (KOL) recruitment and relationship management• [In-depth Telephone Interviews, Focus Groups, Ad Boards, Online platforms] PHARMACY BENEFITS/FORMULARY MANAGEMENT• Prior authorization requests review/coverage determinations• Appeals requests review/coverage re-determinations • Benefit plan/drug utilization analysis• Pharmacy & Therapeutics (P&T) Committee contributor• New drug reviews• Utilization Management (UM) development - PA policy, Quantity limits, Step Edits• [Commercial, Medicare, Medicaid, HIX Channels] RETAIL PHARMACY• Prescription fulfillment• Inventory management• Insurance adjudications• Medication Therapy Management (MTM)• Pharmacy law and operations
Experience
Associate Director, Value and Access Strategy, Commercial Consulting
Jun 2022 — Present · US
Education
University of Florida
Master of Business Administration (MBA)
2013 — 2015
The Advertising Club of New York
i'mPART Fellowship
2016 — 2017
Lake Erie College of Osteopathic Medicine, School of Pharmacy
Doctor of Pharmacy (Pharm.D.)
2007 — 2011
Highmark Blue Cross Blue Shield
PGY-1 Managed Care Pharmacy Residency
2011 — 2012
Wayne State University
Pre-Pharmacy
2004 — 2007
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