Babette S. Edgar, Pharm.D., MBA, FAMCP

Babette S. Edgar, Pharm.D., MBA, FAMCP

Principal, BluePeak Advisors (BPA)

Babette has been in the managed care industry for 25 years and advises health plans, pharmacy benefit management companies and pharmaceutical companies on Medicare and managed care strategies, operational and compliance issues.

Sherry Pound

Sherry Pound

Principal, BluePeak Advisors (BPA)

Sherry has been in the managed care industry for 19 years and advises health plans, pharmacy benefit management companies and information technology companies on Medicare strategies, operational and compliance issues.

Melissa Whitley, MBA

Melissa Whitley, MBA

Vice President, Client Services

Melissa has over 25 years of experience in health plan and PBM operations, with the past 10 years focused on the Medicare Part D business. Melissa’s expertise is in the identification and remediation of Medicare Part D operational issues and compliance risks, operating within matrix organizations and managing cross-functional teams.

Shannon Casey, MHA

Shannon Casey, MHA

Vice President, Operations

Shannon Casey, MHA is Vice President, Operations at BluePeak Advisors. Shannon has been in the managed care industry for 20 years and works with health plans and Pharmacy Benefit Managers on Part D Operations, compliance, strategic planning and business development.

Nancy E. Erickson, BSN, MHA

Nancy E. Erickson, BSN, MHA

Director

Nancy has been in the managed care industry for over 21 years and currently advises Medicare Advantage plans on Medicare compliance and operational requirements, conducts CMS mock audits, assists in remediation of CMS audits and supports development of monitoring and oversight programs.

Dr. David Lorber, MD, FCCP

Dr. David Lorber, MD, FCCP

Medical Director

David has spent over 20 years in managed care. His background includes extensive experience in commercial managed care, utilization management and quality with Blue Cross Blue Shield, pharmacy benefit management with CVS Health, retail pharmacy as VP of Clinical Affairs for Walgreens, and Medicare as Medical Director and Chief Medical Officer for two Part D plans.

Gary M. Owens, M.D

Gary M. Owens, M.D

Medical Director

Dr. Gary Owens has 30 years’ experience in healthcare management. He provides strategic and tactical consulting services to pharmaceutical manufacturers, new technology developers, employer benefit managers and managed care plans.

 Jeff Baker

Jeff Baker

Senior Consultant

Jeff’s expertise includes claim processing, Prescription Drug Event (PDE) reporting, and management of Medicare financials. He has over 15 years of management experience with the last 10 years dedicated to the Medicare Part D industry.

Jaymie Billbrough

Jaymie Billbrough

Senior Consultant

Jaymie is a registered nurse and Senior Consultant with BluePeak Advisors where she consults with health plans on compliance, STAR, and operations issues for Parts C (ODAG) and D (CDAG).

Annette Gabel

Annette Gabel

Senior Consultant

Annette focuses on Part D compliance and operations for health plans and PBMs. She is a compliance expert, industry leader, and process improvement specialist with more than 20 years of experience in the healthcare/pharmaceutical industry.

Susan Herman

Susan Herman

Senior Consultant

Susan works with health plans and PBM companies on compliance and operational issues for Parts C and D. Prior to consulting Susan had worked in the managed care industry as a federal regulator with the CMS San Francisco Regional Office since 1991.

Kelly MaKay, RPh, MBA

Kelly MaKay, RPh, MBA

Senior Consultant

An industry leader with extensive Medicare operations management and regulatory oversight experience, Kelly focuses on Medicare claims and operations for Pharmacy Benefit Managers (PBM) and health plans.

Greg Miller, RPh

Greg Miller, RPh

Senior Consultant

Greg focuses on PBM operations, CMS mock audits, and, pharmacy and oversight auditing. In his previous management experience, Greg has led teams in preparing the clients’ audit universe files, quality assurance practices, mock audit preparation and also provided guidance on operational and audit best practices.

Kim Mullins, MS

Kim Mullins, MS

Senior Consultant

With more than 25 years of Medicare experience, Kim lends her expertise in communications, regulations, process development and implementation, compliance, and Part C operations to clients.

Angela Muncy, CHC

Angela Muncy, CHC

Senior Consultant

Angela Muncy is a Senior Consultant at BluePeak Advisors. She is certified in Healthcare Compliance and has over 10 years of experience working with Medicare, Medicaid, and Commercial health plans, including Health Insurance Exchanges.

Emily Pfister, PMP

Emily Pfister, PMP

Senior Consultant

Emily specializes in Medicare Part D and Pharmacy Benefit Management (PBM). In this role, she leads projects for clients including audit preparation and remediation, mock audits, Part D readiness, delegation oversight, compliance, risk assessments and strategic planning.

Genevieve Regal, Pharm.D., HC-MBA, MTM

Genevieve Regal, Pharm.D., HC-MBA, MTM

Senior Consultant

Genevieve Regal is a Senior Consultant at BluePeak Advisors. With 12 years of pharmacy related leadership experience, Genevieve has supported both Health Plans and PBMs to improve Medicare Part D regulatory compliance and to optimize patient care.

Michelle D. Rigby, CFE

Michelle D. Rigby, CFE

Senior Consultant

Michelle D. Rigby, CFE, is a Senior Consultant at BluePeak Advisors (BPA). Michelle has 20 years of health care compliance experience at both the health plan and PBM level to include Medicare, Medicaid and Commercial products.

Laurie Russell, MS, RN, CCM

Laurie Russell, MS, RN, CCM

Senior Consultant

Laurie has more than 30 years of health care experience including 15 years in managed care. She advises health plans on quality improvement, Medicare star ratings, compliance and operations around ODAG/SNP and medical management.

Erin W. Skinner, Esq

Erin W. Skinner, Esq

Senior Counsel

Erin W. Skinner, Esq. is a Senior Counsel at BluePeak Advisors. Erin is a legal professional with over 6 years of experience in the Medicare industry, specializing in government and regulatory compliance.

Cheryl A. Wasserman, JD, CHC, CHPC

Cheryl A. Wasserman, JD, CHC, CHPC

Senior Consultant

Cheryl has 22 years of experience in managed care, indemnity insurance and government programs (Medicare and Medicaid).

Carmen Winters, MAOM

Carmen Winters, MAOM

Senior Consultant

Carmen is an experienced compliance officer and consultant with over 15 years of Federal and State Compliance Program development and management and 24 years of managed care industry experience.

Kinga Conklin

Kinga Conklin

Consultant

Kinga Conklin is a healthcare executive with 10+ years of experience with Medicaid, Medicare and Commercial Health plans and related risk-bearing entities. She is a solutions-oriented innovator, able to streamline processes, reduce costs, minimize risks, and improve quality and service.

Melissa DePriest, CPhT

Melissa DePriest, CPhT

Consultant

Melissa is a healthcare professional with experience in the Medicare Advantage Part D field focusing on coverage determinations, appeals and drug utilization review.

Lyanna Lusk

Lyanna Lusk

Analyst

Lyanna Lusk is an Analyst at BluePeak Advisors where she focuses on database and reporting solutions. Lyanna possesses 20 years of experience implementing Information Technology solutions for various organizations, with the past 9 years specializing in Health Care Prescriber and Medicare Part D programs.

Lindsay Reed

Lindsay Reed

Consultant

Lindsay focuses on Medicare claims and operations for Pharmacy Benefit Managers (PBM) and health plans. Lindsay has been in the healthcare industry for 20 years with experience in both retail pharmacy and pharmacy benefit management.

 Shivani Sharma, MHSA

Shivani Sharma, MHSA

Consultant

Shivani has supported Federal health care programs for over ten years by focusing on regulatory compliance and developing operational efficiencies.