Elaine Daphnis

Staff VP, Sales and Account Management Carelonrx Medicaid Business Unit @Elevance Health

New York, NY, US

As Staff VP Sales Development, Medicaid, Medicare & HIX Sale (East Region) is responsible in contributing to the success of the organization dedicated to providing quality healthcare to families and individuals who rely on Medicaid. Responsible for pharmacy growth retention and market growth penetration. Acts as the primary East Region pharmacy interface with Anthem senior executive team, individual Health Plans, PBMs, and State regulators. Responsibilities include management/deliverance of pharmacy information and cost/trend detail reporting to Health Plan(s), which includes financial, operational and quality metrics/trends pertaining to the Pharmacy Program, as well as collaboration in the development and implementation of cost savings and quality opportunities. Participate in local and/or enterprise cost of care work group(s) that strive to identify cost of care opportunities. Lead the East Region’s development of innovative, cost effective pharmacy benefit designs – i.e, narrow, specialty, mail order, formulary strategies, carve in strategies, rebates, and other strategic initiatives to further meet client needs. Participate in identifying and implementing cost effective formularies and policies to further reduce cost of care. Execute successful New Business (new service areas, counties, products etc.) pertaining to pharmacy benefits rollout and launches related to new business. Execute successful Rx sections of RFPs and contract amendments. Support any pharmacy market RFP or expansion needs as they arise. Partner with Rx Analytics team to better understand drivers of trend, analyze data and identify further opportunities to improve efficiencies that further drive cost of care savings strategies to meet pharmacy and company goals.

Saint John's University

MBA, Executive Management

St. John's University

Bachelor, Pharmacy