Nicole Ewing
West Chester
Summary
Dynamic and multiple award-winning healthcare leader with extensive experience in patient access, reimbursement, training development, and product launch. Successfully navigated payer landscapes, secured formulary inclusion, and optimized patient access pathways. Skilled in building strategic relationships with healthcare providers and cross-functional teams to drive outcomes. Career goals involve leveraging expertise in reimbursement and access solutions to improve patient outcomes and provider support.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Institutional Specialist
Gilead Sciences, Inc.
08.2022 - Current
- Designed and led the development of the COVID business unit specific webpage, collaborating with cross-functional teams to align content with the business unit needs. Critical resource for internal stakeholders which led to Gilead Key Contributor Award for 2024.
- Developed and implemented a pull-through strategy to ensure IDN's adopt and maintain long-term usage of Veklury, working with clinical teams to promote proper utilization and addressing barriers that could limit ongoing utilization.
- Participated in regional and national conferences to stay informed on industry trends and network with professionals.
- Conducted training for hospital clinicals and administration to reinforce consistent Veklury use and resolve issues related to procurement, coding and formulary inclusion.
Institution Account Specialist – Anti-infective Division
ALLERGAN PHARMACEUTICALS
03.2019 - 07.2022
- Facilitated inclusion in key institutional formularies, streamlining availability of specialized therapies.
- Developed and delivered reimbursement tools, including rebates and contracts.
- Successfully gained formulary inclusion at two medical institutions in seven months.
- Enhanced account retention with proactive communication and follow-up.
- Maintained updated knowledge on insurance policies, coding guidelines, and industry regulations to maximize reimbursement potential.
Senior Sales Representative
NEOS THERAPEUTICS
03.2016 - 03.2019
- Introduced three ADHD therapies, concentrating on reimbursement education for providers and staff.
- Conducted detailed sessions on appeals processes related to ADHD treatment protocols.
- Appointed as Regional Sales Trainer due to deep understanding of payer access and provider education.
- Served as a subject matter expert on specific payers or types of claims, contributing specialized knowledge during internal meetings or presentations aimed at improving overall team effectiveness in handling reimbursement matters.
- Developed training materials for new hires, expediting the onboarding process for Reimbursement Analysts in a fast-paced environment.
Territory Manager
EGALET PHARMA - Inventiv
07.2015 - 03.2016
- Assisted medical providers in navigating the reimbursement landscape for leading-edge abuse-deterrent treatments.
- Optimized market reach by partnering with Specialty Pharmacies.
- Identified and resolved issues affecting sales performance in the territory.
- Maintained direct personal contact with all assigned accounts and fostered relations with new ones.
- Delivered exceptional customer service, addressing questions or concerns regarding medications, insurance coverage, and co-payments in a timely manner.
National Sales Trainer
ENDO / AUXILIUM PHARMA
11.2013 - 07.2015
- Designed and implemented comprehensive training modules to educate sales teams on Buy-and-Bill workflows, including prior authorizations, claims submissions, and coding accuracy.
- Collaborated with reimbursement specialists and support teams to streamline resolution of provider challenges, improving overall customer satisfaction.
- Maintained up-to-date knowledge of healthcare reimbursement trends, including payer changes, and integrated updates into training materials.
- Facilitated workshops and live training sessions to enhance understanding of payer policies, reimbursement processes, and compliance requirements.
Oncology/Pain Sales Specialist
DEPOMED/ARCHIMEDES PHARMA
04.2012 - 11.2013
- Led the launch of innovate nasal fentanyl spray for cancer patients, implementing access strategies to optimize availability and patient care.
- Coordinated inventory management across multiple specialty pharmacies to ensure consistent product supply, addressing provider and patient needs.
- Collaborated with \ Medical Science Liaisons and marketing to develop and communicate access and reimbursement strategies effectively.
- Supported access initiatives by resolving barriers related to prior authorizations, coverage policies and specialty distribution networks.
Clinical Liaison
KINDRED HOSPITALS
02.2010 - 04.2012
- Partner with healthcare providers, case managers, and nurses to assess trauma and ICU patients' eligibility for LTAC, ensuring appropriate coverage and reimbursement pathways.
- Streamlined workflows by facilitating communication between hospital teams, patients, and insurance companies to resolve prior authorizations, appeals and coverage issues.
- Advocated for patient access care by navigating complex payer requirements and coordinating insurance providers to secure approval for necessary treatments and transitions. Embodied clinic philosophy, policies, procedures and services to serve and support patients and families.
- Developed and maintained relationships with insurance representatives to stay current on reimbursement trends and advocate for timely resolution of claims.
Oncology Specialty Manager
WYETH PHARMACEUTICALS
04.2001 - 05.2009
- Drove adoption of Buy-and-Bill oncology therapies by educating healthcare providers on reimbursement processes, coding and billing best practices.
- Collaborated with provider offices and specialty offices and specialty pharmacies to streamline access to cancer medications, ensuring timely delivery and proper reimbursement.
- Served as a trusted resource for oncologists and practice managers, delivering insights on drug access, financial assistance programs, and patient support services.
- Coordinated cross-functional collaboration among sales, marketing, reimbursement and medical teams to achieve business objectives and drive adoption of oncology therapies within the Buy-and-Bill model.
Hospital Account Manager
WYETH PHARMACEUTICALS
09.2004 - 12.2007
- Developed and executed hospital-specific strategies to navigate formulary approvals, P&T committee presentations, and procurement processes.
- Implemented added value through contracts and rebates, securing formulary status and driving adoption of new IV antibiotic across multiple IDN's.
- Collaborated with internal teams to develop customized reimbursement solutions that aligned with hospital budgets and payer contracts.
- Identified key decision makers and procurement department heads to uncover barriers for product stocking and pull through.
- Monitored financial health of hospital accounts; developed contingency plans when necessary to address potential challenges.
Education
B.S. - Business Administration
Rosemont College
Rosemont, PAAssociate of Science - Nursing
Harcum College
Bryn Mawr, PA12.2024
Skills
- Specialty Pharmacy and Buy-and-Bill
- Pull Through Strategy
- Reimbursement Strategy and Navigation
- Product Launch
- Cross-Functional Collaboration
- Clinical and Reimbursement Education
- Healthcare Compliance and Regulatory Knowledge
Certification
Prior Authorization Certified Specialist
The Accreditation Council for Medical Affairs
December 2024
Timeline
Institutional Specialist
Gilead Sciences, Inc.
08.2022 - Current
Institution Account Specialist – Anti-infective Division
ALLERGAN PHARMACEUTICALS
03.2019 - 07.2022
Senior Sales Representative
NEOS THERAPEUTICS
03.2016 - 03.2019
Territory Manager
EGALET PHARMA - Inventiv
07.2015 - 03.2016
National Sales Trainer
ENDO / AUXILIUM PHARMA
11.2013 - 07.2015
Oncology/Pain Sales Specialist
DEPOMED/ARCHIMEDES PHARMA
04.2012 - 11.2013
Clinical Liaison
KINDRED HOSPITALS
02.2010 - 04.2012
Hospital Account Manager
WYETH PHARMACEUTICALS
09.2004 - 12.2007
Oncology Specialty Manager
WYETH PHARMACEUTICALS
04.2001 - 05.2009
B.S. - Business Administration
Rosemont College
Associate of Science - Nursing
Harcum College
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