Brian Kinscher
Rochester
Summary
Director with extensive experience in the Healthcare industry, demonstrating a strong commitment to client and member care. Proven ability to collaborate effectively with internal and external stakeholders to meet organizational goals. Focused on strategic growth and innovation, leveraging tactical leadership skills to drive business success.
Overview
13
13
years of professional experience
Work History
Director, Provider Contracting and Strategy
Express Scripts/Evernorth
Remote
02.2023 - Current
- Manage 20% of pharmacy providers that make up Network
- Developed strategy for Long Term Care pharmacies and led re-contracting initiatives.
- Directed contracting efforts to align with strategy for GLP-1 medications.
- Representative at the past two NCPDP conferences
- Facilitated weekly Contracting Team calls, establishing agendas for effective discussions.
Business Development Sr. Advisor – Wholesale Markets
Express Scripts/Evernorth
Remote
04.2022 - 02.2023
- Established Market Development initiatives for Wholesale clients.
- Directed Reporting and Automation team to optimize processes.
- Collaborated with Marketing on branding and white label solution documentation.
- Created Tableau and QBR reporting tools for Account Executives to leverage.
Sr. Account Executive
Express Scripts/Evernorth
Remote
04.2016 - 04.2022
- Conducted network negotiations with clients to secure favorable agreements.
- Established advanced opioid program generating $1M in revenue.
- Upsold clinical programs, contributing $10M in revenue.
- Partnered with specialty pharmacy, driving $3M in revenue.
- Enrolled client in narrow pharmacy network, resulting in $2M in revenue.
- Represented ESI at Georgia Medicaid Readiness Review for compliance.
- Participated in RFP and finalist meetings for new health plan client.
- Collaborated on Medicare Plan Finder process, achieving five CMS Star ratings.
Sr. Sales Coordinator
Express Scripts/Evernorth
Remote
06.2012 - 02.2016
- Account team lead for 2014 transition to new Prior Authorization software platform
- Lead for Prior Authorization cleanup efforts
- Resolved and closed 120 client issues of which 19 were escalated
- Lead Specialty claims migration to ESI specialty pharmacy
Education
Bachelor of Business Administration - Marketing with Emphasis in Sales, International Business Certificate
University of Wisconsin – Eau Claire
Eau Claire01.2011
Skills
- Provider contracting
- Strategic planning
- Market development
- Data analysis
- Regulatory compliance
- Proficient in Microsoft programs
- Product Management
- RFP support
Timeline
Director, Provider Contracting and Strategy
Express Scripts/Evernorth
02.2023 - Current
Business Development Sr. Advisor – Wholesale Markets
Express Scripts/Evernorth
04.2022 - 02.2023
Sr. Account Executive
Express Scripts/Evernorth
04.2016 - 04.2022
Sr. Sales Coordinator
Express Scripts/Evernorth
06.2012 - 02.2016
Bachelor of Business Administration - Marketing with Emphasis in Sales, International Business Certificate
University of Wisconsin – Eau Claire
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