Ronald Hays is a Health Plan Services Consultant with BluePeak Advisors, a division of Gallagher Benefit Services, Inc. He brings to BluePeak and its clients 20+ years of pharmacy industry knowledge and experience. This experience includes dispensing environment experience (retail, LTC and mail-order), e-prescribing and drug product development and management, claims and benefit data analysis and management. In addition, he has recent and in-depth Medicare Part D experience, specifically regulatory reporting, monitoring and auditing.
Prior to joining BluePeak, Ronald was with Reed Elsevier’s Health Sciences Division for 10 years, holding various positions and responsibilities. He managed the Drug Product Image Database for the Reed online product Clinical Pharmacology, an industry standard for clinical drug information and identification. He also co-managed a multi-state, Retrospective Drug Utilization Review (RDUR) Medicaid Behavioral Health program designed to inform and educate provides regarding best practices for prescribing behavioral health medications.
Ronald most recently held the position of Pharmacy Manager, Reporting and Operations, for a Medicare Part D Pharmacy Benefit Administrator. This role allowed Ronald to utilize both his Six Sigma Greenbelt and Project Management knowledge and skills in most facets of Part D benefit administration, monitoring, reporting and auditing. Ronald’s combine efforts with his colleagues brought the Plan Sponsors Medicare Part D (including MTM) Star ratings from 3 to 5.
Data intake, standardization and management as well as data consolidation and formatting to meet regulatory reporting submission requirements have been a substantial segment of Ronald’s roles and responsibilities. He brings a solid background in process improvement, creation, GAP analysis, and implementation of efficiency and effectiveness measures to BluePeak as well.