George Alatzas

About George Alatzas

Experienced Pharmacy Benefits Operations Director Expertise in Contracting…

Experience

1. Senior Director, National Network Management

   CVS Health

   Jun 2019 — Present

   Design, develop, contract, maintain, and enhance pharmacy networks and relationships with providers which serve as contractual networks of care for members. Develop and execute the strategy for provider experience, engagement and satisfaction while fostering growth in managed care products and value-based arrangements. Emphasis on improving cost, quality and competitive positioning, as well as enhancing the profitability of Aetna. Provide leadership, guidance and oversight for a team of directors, managers, consultants, and project managers. Formulate and execute overall network strategy to manage pharmacy costs and drive profitable growth for all lines of business. Work cross-functionally with national and local stakeholders to ensure the operational consistency of negotiated agreements. Maintain the integrity of provider data and system load accuracy to ensure payment accuracy. Promote and develop value-accretive contracts with key providers to drive lower costs, as well as higher quality and member satisfaction. Partner with key stakeholders, including Medical Economics, Clinical Operations, Medical Policy, and Sales, to assess effectiveness and appropriateness of any tactical plan in managing costs. Develop and negotiate complex, competitive contracts with significant financial implications involving all provider types including national chains, regional chains, PSAOs and independent pharmacies. Manage value-based relationships with key providers. Effectively manage provider compensation and pricing development activities. Develop and manage unique network solutions that provide customer value and financial savings. Ensure all network initiatives and processes are in compliance with all applicable state and federal laws. Develop, manage and mentor high quality, productive team members to achieve optimal performance.

Skills

• Healthcare Industry
• Benefits Administration
• Hipaa
• Healthcare Information Technology
• Health Insurance
• Managed Care
• Pharmacy Benefit Management
• Insurance
• Process Improvement
• Pharmacy Automation
• Medicare
• Medicare Part D
• Hmo
• Provider Relations
• Healthcare
• Utilization Management
• Medicaid
• Pharmacy
• Healthcare Management