Greg Miller, RPh
Senior Consultant
Greg Miller is a Senior Health Plan Services Consultant at BluePeak Advisors, a division of Gallagher Benefit Services, Inc. A Registered Pharmacist (RPh) and an industry leader with Medicare operational experience, Greg has over 30 years in pharmacy healthcare with over 12 years in the Medicare Part D sector.
Prior to joining BluePeak, Greg held various management positions in the PBM industry. He developed, implemented, and guided a team of associates dedicated to supporting the PBM clients through CMS operational audits. This included full CMS program, Transition Monitoring Program Analysis (TMPA), Formulary Administration Analysis (FAA), Mail Order and client initiated mock audits. He led his team in preparing clients’ audit universe files, quality assurance practices and mock audit preparation. He also presented as a subject matter expert at industry conferences. While at the PBM, he led a team that developed, coded and implemented a robust Medicare Part D daily claim review reporting and analytic capability for the PBM’s clients. He was involved in several management developmental training programs including being trained in six sigma black belt and process improvement methodologies. Prior to his PBM experience, Greg held management positions in the retail pharmacy arena. While there, he gained experience in National Council for Prescription Drug Programs (NCPDP) claims adjudication, prescriber file database creation, maintenance and monitoring and claims editing for audit avoidance.
At BluePeak, Greg focuses on CMS program audits, Pharmacy Benefit Manager (PBM) assessments, pharmacy and oversight auditing in addition to Formulary Administration (FA), Coverage Determinations, Appeals and Grievances (CDAG) operations. As an account manager, he is responsible for helping his clients navigate new and existing Medicare regulations and successfully implement or re-implement their benefits every contract year. Throughout his career, Greg has conducted and supported clients in over 15 Independent Validation Audits (IVA) and over 65 CMS Program Audits, Mock CMS Program Audits and PBM assessments. In addition, Greg helps develop and present material for BluePeak in their quarterly industry presentations.
Greg holds a bachelor’s degree in pharmacy from Duquesne University. He is a licensed, registered pharmacist in Pennsylvania.