Phillip Hivale, PharmD, MBA

Experience

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  Texas Health Huguley Hospital Fort Worth South

  May 2009 - May 2012

  Clinical Pharmacist / PY4 Intern

  • Conducted medication reconciliation and prepared various types of intravenous (IV) medications• Managed and monitored patients with various medical conditions• Facilitated nursing and provider education through clinical and administration presentations on the units • Oversaw pharmacy technicians and supportive staff to ensure quality of the hospital pharmacy• Demonstrated a strong work ethic, attention to detail, and commitment to patient-centered care• Contributed significantly to the overall success of the pharmacy team and the well-being of the patients served Show less

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  Cajon Pharmacy Services

  Mar 2012 - May 2013

  Clinical Pharmacist and Ambulatory Care Specialist

  • Treated chronic outpatient conditions such as diabetes, hyperlipidemia, hypertension, and asthma through ambulatory assessments, providing high-quality patient care• Supervised pharmacy operations, including inventory management, medication distribution, and regulatory compliance• Developed clinical standard operating procedures to ensure consistent and safe treatment, following evidence-based practices and industry standards• Contributed to improved patient outcomes and maintained a high standard of practice within the clinic Show less

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  Loma Linda University

  May 2013 - Aug 2020

  Adjunct Clinical Faculty

  • Oversaw the professional development of 4th-year doctoral pharmacy students during their clinical rotations in disease management• Provided comprehensive lectures and hands-on training in specialty therapeutic areas, such as immunology, neurology, and rare diseases• Focused on deepening students' understanding of complex disease states, pharmacological treatments, and patient-centered care• Honed students' vital clinical skills, including medication therapy management, patient education, and interdisciplinary communication• Maintained a supportive learning environment, empowering students to confidently navigate the dynamic landscape of pharmacy practice• Fostered students' growth and development as future healthcare professionals Show less

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  Preveon Health

  May 2013 - Sept 2017

  • Oversaw and managed provider/clinic relationships, in-services, and touch points for providers (~1300) and clinics (~700) within contracted payers and health systems (~32,000 patients) • Tracked and monitored all clinic interactions from the provider relations team to measure performance (~2100 clinic visits per year); enrolled ~600 primary care physicians into the diabetes management protocol for medication management by Preveon (90% enrollment)• Generated patient data reporting to all protocol-enrolled providers to track performance (addressing Star, HEDIS, and outcome measures)• Managed, coordinated, and trained provider relations team for provider and clinic enrollment• Contracted with manufacturers for patient, provider, and Preveon clinical support/education (Sanofi, Novo Nordisk, Merck, J&J, AZ)• Collaborated for Comprehensive Medication Management (CMM) program launch in Sept 2017 (HTN, asthma/COPD, and CVD) Show less • Evaluated patients and developed diabetes and hyperlipidemia medication therapy clinic plans for IEHP/Medi-Cal patients (~21,000); established treatment therapy standards and protocols for Star/HEDIS measures• Developed provider and clinic-based tracking system for patient outcomes, implementing comprehensive documentation and follow up; leverage key training in diabetes and hyperlipidemia treatment (Medication Therapy Management, Certified Diabetes Specialist)• Co-developed proprietary ambulatory therapy management contracts for diabetes, hyperlipidemia, asthma, hypertension, and patient lab ordering• Collaborated with data team to develop provider performance tracking for patient metrics (adherence, therapy optimization, labs, and key HEDIS scoring)• Utilized business and start-up skillsets in lead generation, content creation, infrastructure, launch marketing, and tech development; conducted customer relationship management with clinics and providers Show less

  • Medical Outcomes Coordinator - Clinics and Health Systems

    Jan 2015 - Sept 2017

  • Clinical Pharmacist and Disease Management Lead

    May 2013 - Dec 2014
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  Preveon Specialty

  Sept 2017 - Aug 2020

  Payer and Health Systems Contracting and Account Manager

  • Contracted with and managed relationships for 10+ major payers (Anthem, IEHP, LA Care, Molina, and Aetna) and health systems (Kaiser, UCLA Health, Adventist Health, RUHS, Sharps) for population disease management• Managed a team of clinical pharmacists, prior authorization specialists, pharmacy technicians, patient care specialists, and accounts salesforce for value-based contracts with payers and health systems • Provided health and economics outcomes value to payers by decreasing healthcare resource utilization (HCRU) and improving patient outcomes across contracted specialty therapeutic areas• Oversaw specialty disease management payer contracts in neurology, psychiatry, rheumatology, dermatology, endocrinology, cardiology, oncology, and gastroenterology• Presented to payers, health systems, KOLs/HCPs, and GPOs on therapeutic access and coverage methodologies to address unmet needs and improve health and economic outcomes• Collaborated directly with pharmaceutical manufacturer teams within payer accounts, medical affairs, HEOR, and market access to synergize patient access and affordability for critical specialty therapies• Established direct contracting with 15+ pharmaceutical manufacturers and their trade teams limited distribution products and direct-invoicing/pricing• Generated data reporting on key KPIs to track success of managed care contracts and optimize formulary utilization, patient specialty access, cost reduction, and patient health outcomes• Worked directly with payer P&T committees and clinical investigators to assess pipeline biopharmaceuticals and conduct clinical and cost analyses for coverage and formulary addition Show less

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  Syneos Health

  Aug 2020 - Sept 2021

  VP of Managed Markets

  • Led the managed markets strategy, value messaging, and digital tools for clients; 8 clients were top 20 pharma companies with 15+ additional biopharmaceutical companies• Integrated HEOR and RWE to inform market strategy and enhance value and access messaging; implemented primary and secondary research from multiple data sources (payers, health systems, PROs)• Managed client accounts within Market Access, HEOR, and Payer Account Teams and embedded my team within client departments to ensure synergy and strategic alignment• Identified key business opportunities for clients through landscape assessments; developed and launched new initiatives; implemented 7 new payer/health system initiatives for existing clients• Strategically prioritized payer segments and targeted through gap analysis, unmet needs, population demographics, economic evaluation, and health outcomes assessments of key quality metrics• Ensured key messaging and pull through for client initiatives and deliverables by measuring KPIs to enhance targeted success and refine strategy and implementation• Worked within the business development team to submit RFIs, RFPs, and conduct client pitches; led 7 pitches that were $1MM+ in revenue with a business capture of 50%+ Show less

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  Healthcare Consultancy Group - HCG

  Sept 2021 - Mar 2023

  VP of Market Access & Value Comms

  • Overseeing market access strategy, value messaging, and digital tools for clients; 6 clients are top 20 pharma companies with 10+ additional biopharmaceutical companies• Developing and launching key payer engagement tools to increase US patient access and ensure coverage (value propositions, pre-approval exchanges, budget impact, HTAs, AMCP value dossiers)• Maximizing product value for healthcare decision-makers by demonstrating key differentiation (comparative effectiveness, QALY, cost-benefit analysis, QOL scoring, healthcare resource utilization)• Optimizing HEOR and RWE to inform market strategy and enhance value and access messaging; implementing primary and secondary research from multiple data sources (payers, health systems, PROs)• Collaborating directly with client end-users in Market Access, Medical Affairs, HEOR, MLR, and Payer Account Teams for client deliverables; conducting alignment workshops to synergize messaging• Leveraging payer and managed markets background to generate key insights and market influencers across client deliverables; tailoring deliverables to enhance customer/stakeholder engagement• Collaborating with creative studios to implement innovative and technology-driven stakeholder engagement tools; implementing AI, machine-learning, and immersive data solutions• Submitting business proposals and collaborating with the business development team to coordinate strategy with targeted clients; conducted 25+ RFPs/pitches with a 60%+ business capture Show less

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  GLG

  Apr 2023 - now

  SME for Market Access, Payers, HEOR

  • Freelance consulting with clients across the healthcare sector, including pharmaceutical organizations, payers, health systems, and other stakeholders for freelancing contracts• Collaborate directly with client market access and HEOR teams• Develop key strategic objectives and tactical execution• Provide expertise in market access, health and economic outcomes, pricing strategy, drug discovery & development, regulatory strategy & compliance, competitive intelligence & analysis, stakeholder engagement & management, innovation & technology integration• Implement innovative resources such as data immersion, omnichannel engagement, and digital communication• Optimize impact with payers, providers, pharmacies, and patients• Work with cross-functional teams to synergize value messaging• Bring a unique and multidisciplinary perspective across all client initiatives Show less

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  Elev8Evidence

  May 2023 - now

  Chief Strategist - Market Access & Value

  • Contracting with life science clients for healthcare consulting in Market Access, Evidence Generation, HEOR, Payer Strategy, and Patient Services for MSAs, SOWs, and overseeing project delivery• Leading client accounts for strategic development, objectives alignment, and tactical pull through (seller-doer)• Leveraging payer and managed markets background to generate key insights and market influencers across client deliverables; tailoring deliverables to enhance customer/stakeholder engagement• Collaborating with creative studios to implement innovative and technology-driven stakeholder engagement tools; implementing AI, machine-learning, and immersive data solutions• Submitting business proposals and collaborating with the business development team to coordinate strategy with targeted clients; conducted 10+ RFPs/pitches with a 70%+ business capture Show less