Kelly McGrail Pokuta, PharmD

Kelly McGrail Pokuta, PharmD

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Strategic Health Care Professional with More than
30 Years of Experience:

Specialty Pharmacy

Managed Care/Pharmacy Benefit Management

Pharmacy and Medical Benefit Design

Drug Development and Marketing

Clinical Pharmacy Practice

Supply Chain Management

Business Development

Objective

Strategic, entrepreneurial, and highly experienced health care professional with strong business acumen and extensive experience in specialty pharmacy, pharmacy benefit management (PBM), health plans/managed care, pharmaceutical industry, and clinical research/practice seeking a senior advisor/consultant role focusing on managed care/PBM, drug commercialization, and specialty strategy and channel management in collaboration with financial and life sciences organizations.

 

KEY Experiences

EXECUTIVE VICE PRESIDENT & CHIEF TRADE RELATIONS OFFICER, SYNERGIE MEDICATION COLLECTIVE LLC                            

2022 - Present

  • Startup Group Purchasing Organization and develop and execute on business strategies, operational, processes, and key stakeholder relationship management (ie, manufacturers, owners, clients, vendors)

  • Lead pharmaceutical manufacturer contracting and strategy for rebates with a focus on medical benefit covered products, client activities related to medical and pharmacy rebates and value-based contracts, rebate invoicing and management, and corporate strategic initiatives

  • Member of executive leadership team and Board of Director meeting key contributor and presenter

Vice President Trade Relations and Strategy & Chief Trade Relations Officer, Prime Therapeutics

2019 - 2022

  • Lead a team of 47 employees responsible for all pharmaceutical manufacturer relationships, Prime client activities related to pharmacy and medical rebates and value-based contracts, manufacturer and client contracting, and rebate invoicing and management

  • Secured substantial rebate and pharmacy network incremental value through Prime’s partnership with Ascent Health Services GPO, an affiliated Cigna/Express Scripts company

  • Serve as subject matter expert and executive lead for rebate, specialty pharmacy, product innovation, and digital strategies 

Board Member (Voting), Ascent Health Services, affiliated WITH Cigna/Express ScriPTs                                     

 2019 - 2022

  • Represent Prime Therapeutic’s minority ownership interest in Ascent Health Services GPO

  • Consult on GPO growth opportunities and strategic direction and profitability

Principal, Specialty Strategy Solutions

2017 - Present

  • Owner/operator of a health care consulting company

  • Past clients include pharmaceutical manufacturers, specialty pharmacy providers, and payors/PBMs

Senior Vice President, Industry Relations, Diplomat Pharmacy, Inc.

2017 - 2019

  • Led a team that manages all aspects of pharmaceutical manufacturer contracting for specialty and infusion therapies, third party payor/PBM pharmacy network contracting, corporate-wide contract management services, and specialty strategy and business development opportunities

  • Created new strategic partnerships with external stakeholders and redefined specialty care delivery and channel management for patients, payors, prescribers, and pharmaceutical manufacturers

  • Responsible for improved cost of goods for specialty products and annual EBITDA contribution

  • Provided Key Opinion Leader specialty healthcare support internally and externally including business development opportunities, pharmaceutical manufacturer, payor and PBM trends, and data management licensing activities with third parties

  • Member of Executive Leadership Team

Vice President, Specialty and Industry Relations, OptumRX/United Health Group

2011 - 2017

  • Led a team that manages all aspects of pharmaceutical manufacturer contracting for specialty therapies including rebates, fee-for-service, discounts, and other contracting opportunities

  • Created value propositions for specialty formulary management, specialty plan design, and provided client consultation

  • Managed large portion of annual IOI contribution and overall specialty drug spend by maximizing cost of goods opportunities

  • As a specialty health care subject matter expert internally and externally, provided strategic vision and expertise on the current and future states of specialty healthcare

  • Cross company collaboration on various projects including data monetization with third party organizations,
    value-based outcomes programs, limited distribution strategies for specialty products, and pharmaceutical manufacturer clinical outcomes projects



Specialty Oncology Pharmacy Program Manager, CVS Health

2009 - 2011

  • Developed, executed, and project managed oncology programs

  • Analyzed drug pipelines and forecast market impact and share

  • Created and implemented programs to improve patient adherence to oncology therapies

  • Developed and maintained pharmaceutical manufacturer relationships

  • Consulted with payors on formulary management initiatives 

Senior Product Manager, New Product Planning and Marketing, Takeda Pharmaceuticals North America

2004 - 2009

  • Led brand and professional strategies for Phase 3 cardiovascular drugs including brand strategy, key opinion leader development, advisory board management, and market research projects and represented US and European interests in global product commercialization

  • Primary point person for Research and Development planning to support global product commercialization including Phase 3 trial design and life cycle management studies

  • Aligned strategies and commercial activities with Medical Affairs, Research and Development, Managed Markets, Business Analytics, and Sales to support successful product commercialization   

  • Managed medical education and grant activities for Oncology, Diabetes, Gastroenterology, and Cardiovascular franchises

  • Managed Medical Information services for Gastroenterology, Gout, and Oncology franchises

Areas of Expterise

 

Strengths Finder
Top 5 Strengths

  1. Strategic

  2. Ideation

  3. Individualization

  4. Futuristic

  5. Relator

 

Interests & Hobbies

Avid golfer
Spin enthusiast
Wine connoisseur
Culinary artist
Vintage poster collector
Business owner

Other experiences include academia, clinical research, supply chain and group purchasing, pharmacy practice management, and specialty pharmacy and managed care thought leadership

Education

university of illinois at chicago,
college of pharmacy
Chicago, Illinois

Doctor of Pharmacy
1991 

university of illinois hospital and clinicS
Chicago, Illinois

General Clinical Pharmacy Practice Residency
1991 - 1992

 

Awards

“Making a Difference Award”
optumRx/united health group 2015

“Spirit of tap award” for performance excellence
tap pharmaceuticals/takeda 2006

 

licenses & certifications

Registered Pharmacist in Illinois

Board Certified Pharmacotherapy Specialist
2001-2009

Contact

Email: kelly@s3consultantgroup.com
Phone: 708.702.2085