Tanvi Hussain

Experience

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  CVS Caremark Corporation

  Jul 2004 - Nov 2007

  Pharmacy Technician

  - Assisted pharmacist in provision of patient care by answering telephone calls, greeting patients, preparing medications for dispensing- Maintained working inventory of medications by reviewing and replenishing medication stock levels and processing outdated items

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  AllofE Solutions

  Aug 2008 - Aug 2009

  Business Administrative Assistant

  - Tested client software and web systems for errors- Managed and constructed client based website icons and templates

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  CVS Caremark Corporation

  Sept 2009 - Mar 2014

  Pharmacy Intern

  - Resolving medication conflicts with other healthcare professionals- Administering influenza vaccinations per protocol- Counseling patients on new prescriptions, answering questions pertaining to patient medication regimens and making over-the-counter recommendations- Managing Inventory of warehouse and outside vendor pharmaceuticals - Utilizing and maintaining Script-Pro automated dispensing system- Resolving third-party billing issues- Training district-wide pharmacy technicians, interns and graduate interns to perform CVS pharmacy procedures and protocols- Utilized adherence outreach call program to increase patient adherence to maintenance medications Show less

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  UMKC Drug Information Center

  Jul 2014 - Jun 2015

  Post Doctoral Fellow

  Fellowship Responsibilities:- Support contract for Pharmacy & Therapeutics Committee services with major medical center, including formulary management- Update class reviews for Missouri Medicaid patient assistance program using evidenced-based medicine approach- Evaluate and apply knowledge gained from analysis of current primary literature including superiority trials, non-inferiority trials and meta-analyses to form conclusions and recommendations with supportive justifications to formulate accurate, evidenced-based responses to drug information center questionsTeaching Responsibilities:- Participate in Residency Teaching Certificate Program- Pharmacy 7101L: Professional Program and Pharmacy Practice Applied Skills Lab – Fall 2014- Pharmacy 7326: Evidenced Based Medicine – Fall 2014- Pharmacy 7408P: Doctor of Pharmacy Clerkships, Drug Information Rotation Show less

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  DST Pharmacy Solutions (formerly Argus Health)

  Jul 2015 - Apr 2019

  Clinically and operationally supported formulary implementation and maintenance across all lines of business (Commercial, Medicaid, Medicare and Exchange/Marketplace). Maintained cross-functional relationships with internal partners, clients and vendors to ensure accurate and clinically appropriate prescription claim adjudication and rebate alignment. Clinical SME for formulary management tool and web service integration and voting member for cross-functional clinical committees.Key Achievements:- Developed standardized formulary and Utilization Management maintenance processes to improve operational efficiencies by implementing automated solutions and execute timely and accurate of coding of formulary changes within client expected timelines- Implemented adjudication of global opioid management solution to automate the calculation of morphine milligram equivalence dosing to ensure clinically appropriate utilization- URAC accreditation for Formulary and P&T Show less

  • Senior Formulary Strategy Specialist

    Apr 2017 - Apr 2019

  • Drug Information Pharmacist

    Jul 2015 - Apr 2017
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  SS&C Technologies

  Apr 2019 - Apr 2023

  Oversee all SS&C Health clinical pharmacy product teams (Formulary, Prior Authorization, Real-Time Benefit, Clinical/Rebate Strategy and Medi-Span/FDB Drug File Management). Responsibilites include managing clinical staff, product life cycles, profitability, revenue, vendor partnerships, operational processes and IT support/development efforts pertaining to clinical products. Additionally manage documentation and strategic content for audits, billing, RFPs, sales & contract support and ensure policies and procedures are compliant in accordance to state and federal regulation. Regularly interface with health plan and PBM clients to triage issues, problem solve and collaborate to optimize clinical product experiences. Key Achievements:- URAC reaccreditation for Formulary, Prior Authorization and P&T- Established end to end enterprise level regression testing process for formulary tier and UM edits Show less Managed a team of 18 to oversee formulary operations and served as a product owner for in-house formulary management tool. Work in collaboration with Rebate Operations & Strategy teams to ensure formulary compliance and accuracy of formulary and UM coding to optimize rebate strategy alignment. Additionally, oversee clinical business committee functions to ensure formulary decisions are clinically sound with minimal member and client impact while optimizing rebate outcomes.Key Achievements:- Led product development process (clinical business requirements, backlog management, prioritization, user acceptance testing, client migrations, and product launch) for an industry-leading, in-house formulary management tool for 20+ formularies, 90+ disease funds for all lines of business (Commercial, Medicaid, Medicare and Exchange/Marketplace). Key features of tool include formulary and publication management via single source of truth with direct integration to claims adjudication system- Led clinical implementation of new rebate aggregator including redesigning and recoding formulary/UM product and strategy for all current and future clients.- Designed and implemented global age-based UM strategies to appropriately implement Covid-19 vaccines launched throughout 2021 to ensure coverage for all client memberships Show less Managed company’s standard commercial formulary offerings including weekly and monthly maintenance across data platforms for current and future year formularies. Oversaw pipeline and Pharmacy & Therapeutics Committee deliverables. Regularly interfaced with clients (health plans and PBMs) to strategically implement formulary recommendations to place key preferred products on formulary for clinical and business reasons. Additionally provided formulary product demos, onsite training, formulary implementation support, weekly operational statuses and served as intermediary between clients and vendors to accomplish client asks. Key Achievements:- Facilitated web service integration between vendor formulary management tool and company’s claims adjudication platform to automate coding of prior authorization edits- Implemented formularies for 3 additional health plans customers Show less

  • Director, Formulary & Clinical Product

    Apr 2022 - Apr 2023

  • Senior Manager, Formulary Strategy & Operations

    Oct 2020 - Apr 2022

  • Formulary Manager

    Apr 2019 - Aug 2021
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  Elixir

  Apr 2023 - Apr 2024

  Director, Clinical Product Strategy

  Developed innovative, solution-oriented PBM products for the organization by applying project management processes and tools with strict adherence to rigorous documentation and time management while also building strong, collaborative relationships with senior executives and business partners across the organization to operationalize products, construct sales/upsell strategies, create marketing collateral and develop reporting to swiftly bring new solutions to market.

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  MedImpact Healthcare Systems, Inc.

  Apr 2024 - now

  Director, Clinical Product Strategy