Cindy Small

Background

About Cindy Small

MULTI-FACETED PHARMACEUTICAL AND MANAGED CARE PROFESSIONAL REGISTERED NURSE: Expert knowledge of Part B and Part D Drug Reimbursement, Coverage and Policies for Medicare, Medicaid and Commercial insurers. Proven success in securing payer access to injectable drugs and product reimbursement. Successful execution of tactical programs in the establishment of healthcare policy resulting in increased sales in both the commercial and the public sector. Extensive managed care operational experience in network development; managing provider relationships; medical management; grievance and appeals processes. Extensive knowledge of Medicare managed care policy regulations and compliance. Extensive knowledge on the impact of the Affordable Care Act (ACA) on payers, providers and patients with major focus on evolving systems of care (Integrated Delivery Networks, Accountable Care Organizations, State Health Insurance Exchanges and Medicaid expansion). Successful in establishing and working with cross-functional teams, both internal and external stakeholders to ensure organizational alignment with payer, provider and patient related product access challenges, opportunities and partnerships.