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Douglas S. Burgoyne

Douglas S. Burgoyne, PharmD, FAMCP, is VP, Business Development for BluePeak Advisors. Prior to this role, Dr Burgoyne founded Veridicus Health, a health and pharmacy benefits management (PBM) company based in Salt Lake City, UT, and held many leadership positions at other national PBMs and at a regional integrated health plan. In these roles, Dr Burgoyne’s responsibilities have included management of clinical pharmacy functions and programs, such as disease management, pharmacy and therapeutics committee membership, prior-authorization guideline development, employer and employee education programs, therapeutic conversion and generic substitution programs as well as implementing corporate disease management initiatives. Dr Burgoyne is a member of the Academy of Managed Care Pharmacy (AMCP) and Global Respiratory Infection Partnership (GRIP) and is a reviewer for the Journal of Managed Care Pharmacy. Dr Burgoyne is Past President of AMCP (2012-2013) and a Fellow of the Academy of Managed Care Pharmacy (FAMCP). He received his doctor of pharmacy from Midwestern University Chicago College of Pharmacy in Downers Grove, IL.

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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!