Summary
Overview
Work History
Education
Skills
Timeline
Generic

Becky Herrmann

Chaska

Summary

Strategic Leader offering extensive experience in PBM/ Healthcare /PBM experience with 10+ years formal and informal leadership to 20+ individual contributors. Proactive, collaborative, supportive communicator with a passion for culture and member experience. Large-scale enterprise Client and System implementation, Program Leader, Senior Product Manager, Project Manager, Mentor, Operations Manager.

Experienced with designing and implementing functional architectures that align with business objectives. Utilizes deep knowledge of system integration and process optimization to enhance operational efficiency. Track record of successful project leadership and stakeholder collaboration.

Overview

19
19
years of professional experience

Work History

Senior Functional Architect, PBM Product

RxSense
05.2024 - 01.2025
  • Provided strategic support with comprehensive expertise collaborating with product teams, engineers, and developers to create best-in-class Pharmacy Benefit Management to exceed expectations and functionality
  • Continuously monitored industry trends and evolving technology standards to inform future projects'' functional architecture decisions.
  • Achieved successful system implementations by identifying functional requirements and translating them into technical specifications.

Senior Implementation Project Consultant

PSG Pharmaceutical Strategies Group
10.2023 - 03.2024
  • Guided multiple clients for 1/1/2024 PBM implementations including industry standards and best practice, pharmacy claim surveillance, and project lead for product development with vendors and TPAs for Commercial, Medicare Advantage/DSNP plans.
  • Enhanced client satisfaction by providing regular progress updates and addressing concerns in a proactive manner.

Pharmacy Benefit Management Consultant

Self-Employed
11.2022 - 09.2023
  • Consultant providing guidance to multiple Clients for 1/1/2024 PBM implementations to include Industry Standards, Reject and Paid claims surveillance, Project Lead for Product Development with vendors and TPAs for Commercial, Medicare and DSNP plans
  • PBM/Healthcare Consultant offering guidance to Clients and Vendors in Benefit and System implementations, member migrations, Project Management, Risk identification/mitigation to ensure Client success with minimal negative member impact
  • Evaluated client needs and expectations, establishing clear goals for each consulting engagement.

Senior Product Manager

Anthem, Inc.
10.2020 - 10.2022
  • Led retail pharmacy network product development strategy for Anthem Inc
  • Successfully launched medication delivery programs to consumers locally and domestically
  • Developed and provided training and resources for 500+ Anthem Sales, Account Management and Clinical partners
  • Collaborated with internal partners and stakeholders by aligning on Project Plan milestones to develop and implement cross-functional product development for all lines of business including Commercial, Medicare, Medicaid, and DSNP populations and project management completion
  • Established Developed and Maintained Project Plan and Implemented cross-functional solution for self-funded response to the Public Health Emergency mandate to allow members to obtain COVID test kits at Point of Sale, Digital thru Portals and Apps or reimbursed thru Direct Paper Direct claim submission
  • Increased product adoption by identifying customer needs and developing innovative product features.
  • Established strong relationships with key stakeholders, fostering collaboration across departments for seamless product development.
  • Led cross-functional teams for successful product launches, resulting in increased market share.
  • Leveraged Agile methodologies for efficient project management and rapid iteration cycles in response to changing market demands.

Senior Product Manager

Aetna Medicare
06.2019 - 10.2020
  • Collaborated with internal and external functional partners through all phases of Medicare Parts B, D, and DSNP annually
  • Developed Project Plan to incorporate all annual tasks and functional area partners and stakeholders’ activities including annual premiums, bid-related activity, and STARS ratings reviews CMS Guidance/Filing to ensure all work was completely timely and with accuracy
  • Managed product roadmaps, aligning with company goals and ensuring timely delivery of key features.
  • Ensured regulatory compliance by working closely with legal departments on necessary documentation and approvals.

Program Project Lead

CVS HEALTH Caremark
02.2018 - 06.2019
  • Project Voyager Client Implementation Lead in support of PBM Migration activities (system and member migration) from Express Scripts to CVS-Anthem Inc
  • Accountable for development and program project plan maintenance for Commercial, Medicare and Medicaid business with oversight and alignment with 26 unique Workstream areas ensuring dependencies, risk mitigation to keep all areas on track to ensure on-time deliverables/milestones beginning at project initiation thru Go-Live then post-Go-Live support to identify best practices
  • Delivered Program-level matrix status reporting and communications to all Clients, Consultants, Leadership, Stakeholders, Workstreams, internal and external stakeholders and cross-functional workstreams
  • Optimized resource utilization by accurately forecasting project needs and allocating resources accordingly throughout the project lifecycle.
  • Collaborated with cross-functional teams to ensure seamless integration of various project components.
  • Facilitated clear communication between internal departments, ensuring all parties remained aligned on goals throughout the duration of each project.
  • Implemented best practices in documentation management systems that improved efficiency, accessibility, and security of project-related information.
  • Balanced multiple projects simultaneously, maintaining focus on priorities and deadlines.

Senior Client Implementation Lead

OptumRx United Healthgroup
07.2013 - 06.2017
  • Business Project Manager Benefit Implementation responsible for end-to-end implementations including customer migrations, system using Microsoft tools, Salesforce, and RxClaim
  • Implemented effective change management strategies, facilitating smooth transitions for end-users during system upgrades.
  • Trained staff on new systems and procedures, increasing efficiency and reducing user errors during the transition period.
  • Subject Matter Expert (SME) on all Accumulator benefits, spending accounts and processes providing ongoing support to internal and external functional partners for UnitedHealthcare Division support of 12+ million member lives
  • Worked closely with Clients, IT, IT Development, and Model Office, QA and UAT testing teams to gather all requirements, establish connections for file exchanges/integration with vendors and employer groups
  • Partnered with Clients, UHC Account Management teams, and internal functional areas to evaluate, identify, and implement process improvements to improve efficiency, quality, and streamline work flows
  • Developed and led virtual and in-person training to 500+ attendee audiences inclusive of all levels with the organization
  • Fostered a collaborative team environment by promoting open communication, sharing best practices, and recognizing individual contributions.
  • Monitored project progress closely, adjusting resources as needed to meet or exceed established milestones.
  • Maintained strong relationships with clients throughout implementations by providing regular updates on progress, addressing concerns promptly, and soliciting feedback for continuous improvement efforts.
  • Improved customer satisfaction with timely issue resolution and proactive communication during system implementations.
  • Managed multiple simultaneous projects, maintaining focus on priorities and deadlines while ensuring consistent results.
  • Consistently met or exceeded client expectations for delivered solutions by maintaining high standards of quality and attention to detail throughout the implementation process.

Operations Manager

Express Scripts Medco Health Solutions
01.2006 - 04.2013
  • Hired and managed an Operations team of 6 individual contributors
  • Led training for internal and external stakeholders and developed enhancements to on-boarding processes
  • Partnered with Clients, UHC Account Management teams, and internal functional areas to evaluate and identify opportunities for organization improvements and Standard Operating Procedure Documents
  • Developed and led cross-functional in person and virtual training sessions
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
  • Led hiring, onboarding and training of new hires to fulfill business requirements.
  • Analyzed and reported on key performance metrics to senior management.
  • Facilitated smooth collaboration between departments through clear communication channels.
  • Achieved higher employee retention rates by fostering a positive work environment and providing opportunities for professional growth.
  • Developed strong relationships with vendors, resulting in better pricing and improved service quality.
  • Spearheaded process improvements, resulting in increased productivity and reduced operational costs.
  • Led successful change initiatives, ensuring seamless transitions during organizational restructuring efforts.
  • Assisted in recruiting, hiring and training of team members.
  • Trained and guided team members to maintain high productivity and performance metrics.

Education

Bachelor of Science -

University of Wisconsin-River Falls

Skills

  • PBM/Healthcare
  • People management
  • Facilitation and Presentation skills
  • Subject Matter Expertise (SME)
  • Training and Onboarding
  • Tableau
  • Jira
  • Salesforce
  • Strategic Planning and Alignment
  • Relationship management
  • Product Development and Management
  • Project Management
  • System Implementation
  • Data migration and Integration
  • Program Lead
  • Motivated leader
  • Achieving high levels of accuracy
  • Project monitoring
  • Employee motivation
  • Product launches
  • Customer focus
  • User acceptance testing
  • Team motivation
  • Client support
  • Cross-functional collaboration
  • Documentation management
  • Risk management
  • Strategy development
  • Product roadmaps
  • Agile methodologies
  • System implementation
  • Planning and implementation
  • Scope definition
  • Product roadmapping
  • Product development
  • Software implementation
  • Management
  • Performance monitoring
  • Operations oversight
  • Leadership skills
  • Product metrics
  • Policies and procedures implementation
  • Competitive analysis
  • Operations management
  • Client relationships
  • Technology implementation
  • Collaborative mindset
  • Project management abilities
  • Client relations
  • Product lifecycle management
  • Requirements writing
  • Coaching and mentoring
  • Project leadership
  • Business planning
  • Relationship building
  • Change management
  • Regulatory compliance
  • Network architecture
  • Motivational leadership style
  • Brand building
  • Market penetration strategy
  • Staff training
  • Continuous improvements
  • Mentoring
  • MS office
  • Process improvements
  • Continuous integration
  • Recruiting and hiring
  • Strategic planning
  • Business case development
  • Data gathering
  • Workflow management
  • Project planning and development
  • Motivated self-starter
  • Cost management
  • Data mining
  • Project management
  • Staff development
  • Process improvement
  • Root-cause analysis
  • Microsoft office expert
  • Work flow planning
  • Project planning
  • Product management
  • Digital product management
  • Program enhancement

Timeline

Senior Functional Architect, PBM Product

RxSense
05.2024 - 01.2025

Senior Implementation Project Consultant

PSG Pharmaceutical Strategies Group
10.2023 - 03.2024

Pharmacy Benefit Management Consultant

Self-Employed
11.2022 - 09.2023

Senior Product Manager

Anthem, Inc.
10.2020 - 10.2022

Senior Product Manager

Aetna Medicare
06.2019 - 10.2020

Program Project Lead

CVS HEALTH Caremark
02.2018 - 06.2019

Senior Client Implementation Lead

OptumRx United Healthgroup
07.2013 - 06.2017

Operations Manager

Express Scripts Medco Health Solutions
01.2006 - 04.2013

Bachelor of Science -

University of Wisconsin-River Falls
Becky Herrmann