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Barrie Cheung

Barrie Cheung, Pharm.D., is a Senior Consultant at BluePeak Advisors where he focuses on pharmacy operations, claims and audits for government sponsored health organizations and Pharmacy Benefit Manager, (PBMs).  Barrie has a deep knowledge of Medicare, Medicaid, Medicare-Medicaid Plans (MMP) and Medi-Cal plans. Barrie has 20 years of experience in managed care and health plans, working the first ten years as a clinical pharmacist focused primarily on clinical duties.

Prior to joining BluePeak, Barrie has been in the role of a managing director of a dynamic and thriving pharmacy department administering and managing pharmacy benefits for a Medicare-Medicaid Plan (MMP) and Medi-Cal plans.  During this time, he provided direction, leadership, and worked cross-functionally and with the PBM to implement pharmacy benefits for a major membership launch.  Barrie successfully implemented and launched a Medicare-Medicaid (MMP) in 2014 concurrently with a Dual Eligible Special Needs Plan (D-SNP) program, a Medi-Cal Expansion in 2014, and Medicare Part D programs on a yearly basis.

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Experienced Medicare staff: Ready when you are!

BluePeak knows how difficult it can be for Medicare Advantage plans and TPAs to find knowledgeable resources with experience in Medicare, especially when demands increase sharply given the Medicare annual cycle. BluePeak maintains a wide variety of experienced Medicare personnel to help you with seasonal projects, operational backlogs, compliance monitoring, remediation activities, and more.

Examples of projects that BluePeak has assisted plans in 2022 include:

  • Clinical chart review by licensed clinicians
  • Call center oversight, including listening to calls for accurate classification and calibration
  • Operational support to resolve grievance backlogs and provider directory compliance
  • Pharmacy support to resolve coverage determination backlogs
  • Program area specific operational and administrative responses to a corrective action (initiated internally or externally)
  • Compliance resources to support compliance program initiatives

Whether you need one resource or many, BluePeak can quickly staff any project, train resources, track results, and deliver success.

Contact us today!