Rob Berringer

About Rob Berringer

Rob is a PharmD with 34 years of clinical, operational, and technical healthcare experience. He has managed the implementation and operations of clinical services such as care management, long-term care, ePrescribing, HIT/electronic health record, personal health record, drug/medical services prior authorization, medication therapy management, DUR, and formulary management. He also led business and clinical analytics to identify clinical improvement and cost saving opportunities, served on interdepartmental workgroups in developing new healthcare offerings, wrote RFP responses and presented at finalist and other client meetings.Specialties: Account Management, Care Management, Drug Utilization Review, Electronic Health Records, ePrescribing, Formulary Management, Health Information Exchange, Medical/Technical Writing, Medication Therapy Management, Personal Health Records, Preferred Drug Lists, Pharmacoeconomic Analyses, Prior Authorization (Drug and Medical Services), Project Management, Rebates (Supplemental and Federal), Sales and Clinical Presentations

Experience

1. Director of Pharmacy

   Molina Healthcare

   Dec 2018 — Present · Richmond, VA, US

   Direct pharmacy services for one of Virginia’s five Medicaid MCO’s• Monitor pharmacy benefit manager for contract compliance and adherence to Medicaid requirements• Monitor/analyze Molina VA preferred drug list and UM criteria to ensure compliance and maximize savings• Identify SmartPA opportunities and collaborate with Molina clinical policy team to implement new edits• Provide pharmacy support in multidisciplinary rounds (e.g, High Utilizer, Sick Cell, PUMS, Child BH Polypharmacy)• Lead East Region Cost of Care workgroup that ideates, implements, and tracks savings in VA, SC, FL, and NY• Monitor and present pharmacy financial and quality trend to Molina leadership and identify opportunities• Identify and advocate policy change to VA Medicaid• Partner with VA Health Plan and enterprise teams to advance clinical pharmacy strategy• Participate in audit and accreditation activities

Education

• University of Pittsburgh

  Bachelors, Pharmacy

  1984 — 1989

• University of Pittsburgh

  PharmD, Pharmacy

  1994 — 1996

Skills

• Pharmacists
• Pharmacy
• Medicine
• Healthcare Industry
• Managed Care
• Healthcare
• Healthcare Information Technology
• Hipaa
• Clinical Research
• Ehr
• Pharmacy Automation
• Cpoe
• Medicaid
• Pharmacy Benefit Management
• Utilization Management
• Health Information Exchange
• Informatics
• Medication Therapy Management
• Account Management
• Healthcare Consulting
• Hospitals
• Diabetes
• Nursing