pharmaceutical reimbursement access manager in austin tx resume brian buckles

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Brian Buckles is an accomplished Senior Sales Professional with demonstrated success in markets of Injectable Biotech products and pharmaceuticals. Brian is adept in Account Management, access & reimbursement specialist and market development.

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  • BRIAN BUCKLES

    Round Rock, TX 78665 Cell: 512-470-8724 - [email protected]

    https://www.linkedin.com/pub/brianbuckles1

    PROFESSIONAL SUMMARY

    Accomplished Senior Sales Professional with demonstrated success in markets of Injectable Biotech products and pharmaceuticals. Adept in Account Management, sales, managerial role, payers, Managed Care Organization specialist, access & reimbursement specialist, market development, market access & expansion, training. Consistently recognized for impact on Vaccine Business Unit. Ten-time annual award winner. Documented record of affecting change in reimbursement methodologies in Payers and solving reimbursement issues for Physicians. Strengths include:

    Removing barriers and developing winning solutions Honesty and integrity

    Succeeding in a matrix-work environment Training, educating and presenting

    Leading others to succeed Advanced Customer Engagement Selling

    SPECIALIZED SKILLS AND AREAS OF EXPERTISE

    Injectable Biologics Billing, coding and reimbursement strategies

    Buy & Bill model Patient Centered Medical Homes (PCMH)

    Medical Benefits & Pharmacy Benefits Integrated Delivery Networks (IDNs)

    Managed Care- Commercial, Medicaid, Medicare ACOs, Large Medical Systems, Hospitals

    Market access, development and expansion Electronic Medical Records (EMR)

    Policy & Advocacy

    Disease Management & Employee Wellness

    Vaccines- private and public sectors

    Account Management

    PROFESSIONAL EXPERIENCE

    GLAXOSMITHKLINE

    EXECUTIVE REGIONAL ACCESS & REIMBURSEMENT MANAGER, Austin, TX (2011-August 2015)

    Work with IDNs (Scott & White, Harris County, Memorial Hermann, and UHS), Medical Groups (ARC, ADC), FQHCs, Immunization Service Providers, Payers and Employers to expand adult immunization services and improve adult immunization rates in the State of Texas. Involved in Protocol development for Health Systems, EMR adoption of clinical reminders, education of Medical Staff, Medicare Part D Billing Solution and accreditation of in-network status with Payers.

    Work on QIV Flu vaccine launch team resulted in most successful launch in GSK vaccines history.

    Development of new strategic partnerships with targeted accounts led to millions in new revenue growth.

    Consistently exceeded annual objectives and revenue goals.

    Developed Buy and Bill models for immunization services for Public Health Programs. Select Health Departments in Texas were able to provide adult immunizations and bill for their services, resulting in needed revenue for Health Departments and expanded use of GSK vaccines.

    Served as Vaccine Business Unit Billing/coding/reimbursement Specialist. Worked with Sales Team to facilitate positive outcomes for Providers with regards to billing and coding issues with Payers. Removal of this barrier allowed 100s of Physician groups to provide adult vaccination services-expanding market for GSK vaccines.

    Trained internal stakeholders on PCMH, ACOs, Billing & Coding, Medicare Part B & D, ACA impact on Immunizations, Buy and Bill model for Public Health. GSK Vaccine sales reps became the industry benchmark for healthcare system knowledge based on Physician surveys.

  • Brian Buckles page 2

    EXECUTIVE VACCINE SEGMENT MANAGER, Austin, TX (2010 to 2011)

    Identified opportunity for untapped Adult Immunization Initiative in Texas. Promoted to create business concept, train and supervise six elite sales representatives. Developed 400K member Texas School Employee account.

    Incrementally increased new business by $3M within 4 months of roll-out.

    Five of the six sales reps received promotions as a result of working with me on the project.

    Resolved all billing and coding issues for Providers. Educated offices on billing process. Facilitated process of accreditation and in-network status for new Immunization Service Providers.

    Conducted team meetings, partnered on sales calls and developed targeted pursuit opportunities.

    EXECUTIVE AREA IMMUNIZATION MANAGER (AIM), Austin, TX (2002 to 2010)

    AIM initiatives included Managed Care Organizations-(Network Managers, Provider Relations, Medical Directors, Quality, and Pharmacy), Office Managers and Billing persons, benefit design, employers, billing and coding, sales training, state government collaboration, Medicaid, Medicare, medical societies, and business coalitions. Covered States of Texas, Louisiana, Oklahoma and New Mexico.

    Identified need for and helped develop concept for new AIM position for GSK Vaccine Business Unit, to drive vaccine Managed Care initiatives, reimbursement, billing and coding issues and Market development.

    Sales matrix involved 50 Vaccine representatives, Area VP, Sales Directors, Government Affairs Team, Managed Care Team, Marketing, and Product Management.

    Continuously transformed new business and removed barriers to existing business.

    Established component-based reimbursement methodology for Texas Medicaid on 11/2006. First State to implement system to encourage combination vaccine use. Allowed for growth of combination vaccines.

    Efforts with Humana led to Humana becoming the first National Health Plan to implement a reimbursement system that incentivized their Providers to use combination vaccines.

    Work with Louisiana Medicaid resulted in implementation of P4P measure for childhood immunizations-providing an incentive for Providers to utilize combination vaccines.

    Loaded four CPT codes for new vaccines within Commercial Health Plans and Medicaid.

    Worked with hundreds of Provider offices to resolve reimbursement issues with Payers. Educated offices on proper billing and coding. These barriers would have prevented Offices from providing immunization services which would dramatically impact GSK vaccine utilization.

    Developed billing, coding and reimbursement training program that was implemented nationally for Vaccine Business Unit. Work led to development of Billing Guide for Providers.

    Other Professional Experience

    Vaccine Account Manager, GlaxoSmithKline, Indianapolis, IN (1998-2002)

    Responsible for sales of GSK vaccines and expansion of vaccine market in State of Indiana.

    Diligent work and continuous follow-up earned receipt of Most Persistent Award. Executive Pharmaceutical Consultant, SmithKline Beecham, Grand Rapids, MI (1994-1998)

    Promotion of pharmaceutical products in anti-infective, CNS, gastroenterology and anti-inflammatory markets.

    EDUCATION & PROFESSIONAL DEVELOPMENT

    Bachelor of Science, Business Administration/Marketing/Chemistry, CENTRAL MICHIGAN UNIVERSITY;

    Mt. Pleasant, MI

    Regional Leadership Development Program Graduate Business Improvement Program Graduate

    SPIN Selling Program Graduate Advanced Customer Engagement Graduate

    Situational Sales Negotiation Leading without Authority

    Dale Carnegie Graduate

    COMMUNITY SERVICE

    WatchDOG for Round Rock Elementary and Middle School Coach- youth football, basketball and soccer

    PTA member of Round Rock Schools Project Graduation Committee Chairperson