Advanced Pharmacy Concepts (APC) was selected as one of the Top 40 companies in the Best Places to Work in Rhode Island competition for 2012. 

The award is designed to recognize employers in various size categories throughout Rhode Island and Bristol County, Massachusetts that are divided into three groups based on the number of employees - large employers were those with 150 or more local (Rhode Island and Bristol County, Massachusetts) employees, medium employers had between 50 and 149 local workers and small employers had 15 to 49 employees. The winners were chosen based on responses to a management questionnaire as well as a confidential employee survey.

"We are very proud to be part of this select group of employers.  As a small business owner, I am grateful to our team for their commitment to our customers and the quality of the hard work they perform everyday," said Dr. Kimberly McDonough, President & CEO.  "This recognition is very important to all of us."

The Best Places to Work in Rhode Island award is another proud achievement for the company that was founded in 1997.  Dr. McDonough was selected by the U.S. Small Business Administration (SBA) as the 2007 Rhode Island Small Business Entrepreneur of the Year.  In 2009, Advanced Pharmacy Concepts received recognition by INC. Magazine as one of the Top 5000 fastest growing companies in the United States. 

For more information, please see our website at http://www.apc-rx.com/.

On April 18, 2012, SXC Health Solutions announced the purchase of Catalyst Health Solutions for about $4.4 billion in cash and stock.  Both companies, each of which have held mid-market positions,  have expanded recently through acquisition, with SXC completing the acquisition of HealthTrans in January, and CatalystRx  having acquired another PBM, Walgreens Health Initiative just the past summer. 

The combination of the two companies positions SXC to compete with the larger PBMs: CVS/Caremark and Express Scripts.  Express Scripts won approval in April to acquire Medco, which will create a PBM that will handle about 30% of the prescription market in the United States.  More information is available in this MarketWatch article.

Advanced Pharmacy Concepts (APC) is proud to commemorate its 15^th anniversary in the pharmacy benefit consulting and audit industry. 

Dr. Kimberly P. McDonough founded the company as a small operation that assisted health plans and physician practice groups with analysis of clinical pharmacy programs.  By leveraging her extensive clinical pharmacy experience in a variety of managed care, hospital and long-term care settings, Dr. McDonough designed processes and clinical programs to assist managed care organizations (MCO), Medicaid, Medicare, and commercial plan sponsors control the costs of their prescription drug programs.

Since then, Advanced Pharmacy Concepts has grown to become one of the most respected health care consulting firms in the country and is the premier organization specializing in the pharmacy benefit industry.  The team is comprised of 30 veterans from the pharmacy benefit management (PBM) and managed care industries as well as retail and clinical pharmacy operations.  This high level of expertise has been sought by a wide variety of commercial, Medicare and Medicaid plan sponsors across the country, ranging from under 2,000 to over 33 Million covered lives.  The company has also become a highly valued partner in the design and testing of quality measures for several industry-leading resources such as the National Committee for Quality Assurance (NCQA) and the Pharmacy Quality Alliance (PQA).

Beginning in 2005, The Centers for Medicare and Medicaid Services (CMS) relied upon Advanced Pharmacy Concepts for support with several mission critical initiatives that shaped the creation of the Medicare Part D pharmacy benefit program resulting from the adoption of the Medicare Modernization Act (MMA).  CMS engaged the company in the early stages of program to assist in the development of the Part D formulary, program audit criteria and the review of prospective plan sponsor applications.   Today, Advanced Pharmacy Concepts continues to play a vital role in assisting the agency with the development and implementation of new quality measurement tools for Special Needs Programs (SNP) to ensure optimal levels of care for patients living with particular high-cost chronic diseases.

 "Our fifteenth anniversary marks a very important milestone in our company's history, and I am very proud of our talented team and their unwavering commitment to providing an outstanding customer experience to our valued clients" said Dr. Kimberly P. McDonough, President and CEO of Advanced Pharmacy Concepts.  "We are excited about the future, particularly as we launch our next generation of services to support the changing requirements of plan sponsors, particularly those that offer Medicare Part D programs."

More About Advanced Pharmacy Concepts

Advanced Pharmacy Concepts provides comprehensive pharmacy benefit consulting services, PBM compliance auditing, clinical program support and benefit strategy for commercial and managed care plan sponsors across the country.  Advanced Pharmacy Concepts is registered in the Central Contractor Registry of the Federal Government and is a certified small woman-owned business (SWOB) in the states of Massachusetts, North Carolina and Indiana.  Dr. McDonough was selected by the U.S. Small Business Administration (SBA) as the 2007 Rhode Island Small Business Entrepreneur of the Year.  In 2009, Advanced Pharmacy Concepts received recognition by INC. Magazine as one of the Top 5000 fastest growing companies in the United States.  For more information, please see our website at http://www.apc-rx.com/.

Contact:

David C. Fetherston - Vice President of Marketing

dfetherston@apc-rx.com

401-295-7660 ext. 235 (direct)

401-295-8815 (Fax)

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CONFIDENTIALITY NOTICE: This communication and any attachments may contain confidential and/or privileged information for the use of the designated recipients named above.  If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited.  If you have received this communication in error, please notify the sender immediately by telephone and destroy all copies of this communication and any attachments.

Due to the impresseive growth of our PBM Audit Services business, Advanced Pharmacy Concepts is seeking professionals with experience in pharmacy insurance benefits to work in our dynamic and respected firm as a Health Care Audit Analyst.

We are looking for qualified candidates who possess excellent attention to detail, project management skills, and the ability to work well in a team environment.  Ideally, applicants should have 3+ years of health care related experience in pharmacy benefits management, health insurance, or health policy. However, candidates from the financial services industry with demonstrated analytical and mathematics expertise will certainly be considered. Applicants must have strong computer skills, including proficiency in Microsoft Excel, SQL or other programming languages.   Excellent writing skills and the ability to travel will also be required from a successful candidate. 

A Bachelor degree in a relevant field is required; quantitative analysis is a plus. Veterans and minorities are encouraged to apply. 

Advanced Pharmacy Concepts is a nationally respected, independent source for expertise in area of pharmacy benefit programs and services.  We support the needs of a diverse customer base of managed care organizations, employer groups, Taft-Hartley funds, insurance companies as well as State and Federal government agencies.  Our team of industry professionals has an average of over 13 years of PBM, managed care, hospital operations and clinical pharmacy experience which provides our clients with single source for consulting, compliance auditing, data analytics and clinical program support. 

Please send all resumes and cover letters to hpetrone@apc-rx.com.

Come join our growing team!

Advanced Pharmacy Concepts is seeking experienced professionals to join our dynamic firm as a Senior Healthcare Consultant as we continue to grow our pharmacy benefit consulting services practice.

We are seeking a detail-oriented and analytical individual who will help us fulfill the increased demand for our expertise.  Duties will include department and client support in providing proactive reporting solutions and advanced data analytics; predictive pricing model creation for drug benefit programs; analysis of drug utilization and quality metrics; production of client reports (scheduled and ad hoc); client support for specific major clients in all areas of operations; data analysis in RFP process and financial analysis of claims and cost information for clients; contribution to analysis of proposals as part of RFP process.  The successful candidate will be capable of taking responsibility for entire RFP process; benefit design implementation and analysis of third party prescription plans through an understanding of plan parameters required by insurance companies, managed care organizations, and third party administrators.  The Senior Consultant will develop proposals for new business as required; participate in presentations to clients and prospective clients as required and take on new duties as needed to support all initiatives of Advanced Pharmacy Concepts.

Experience/skills required for this position include 5+ Years relevant work experience in Pharmacy or Managed Care industry; 2+ Years relevant work experience in data analytics and financial analysis; advanced analytical and problem solving skills; well-developed business sense (finance, accounting, statistics, risk management, project management); knowledge of  drug reimbursement methodologies and managed care principles; proven ability to perform difficult analytical tasks with minimal supervision; benefit and plan design implementation experience with a managed care/pharmacy benefit environment; comprehensive understanding of insurance company, managed care organizations and third party administrator pharmacy benefit plan parameters; strong quantitative analysis skills; strong PC computer skills, including all MS Office products; excellent communication skills, both written and verbal; ability to interface effectively with internal and external customers; strong organizational skills.

Advanced Pharmacy Concepts is a nationally respected, independent source for expertise in area of pharmacy benefit programs and services.  We support the needs of a diverse customer base of managed care organizations, employer groups, Taft-Hartley funds, insurance companies as well as State and Federal government agencies.  Our team of industry professionals has an average of over 13 years of PBM, managed care, hospital operations and clinical pharmacy experience which provides our clients with single source for consulting, compliance auditing, data analytics and clinical program support. 

Please send all resumes and cover letters to hpetrone@apc-rx.com.

Come join our growing team!

As we continue to grow our Consulting Services business, Advanced Pharmacy Concepts is seeking experienced professionals to join our dynamic firm as a Business Analyst.

We are seeking a detail-oriented and analytical individual to join our consulting team.  Duties will include department and client support in providing proactive reporting solutions and advanced data analytics; predictive pricing model creation for drug benefit programs; analysis of drug utilization and quality metrics; production of client reports (scheduled and ad hoc); client support for specific major clients in all areas of operations; data analysis in RFP process and financial analysis of claims and cost information for clients; contribution to analysis of proposals as part of RFP process.  The successful candidate will be capable of taking responsibility for entire RFP process; benefit design implementation and analysis of third party prescription plans through an understanding of plan parameters required by insurance companies, managed care organizations, and third party administrators.  The Business Analyst will develop proposals for new business as required; participate in presentations to clients and prospective clients as required and take on new duties as needed to support all initiatives of Advanced Pharmacy Concepts.

Experience/skills required for this position include 5+ Years relevant work experience in Pharmacy or Managed Care industry; 2+ Years relevant work experience in data analytics and financial analysis; advanced analytical and problem solving skills; well-developed business sense (finance, accounting, statistics, risk management, project management); knowledge of  drug reimbursement methodologies and managed care principles; proven ability to perform difficult analytical tasks with minimal supervision; benefit and plan design implementation experience with a managed care/pharmacy benefit environment; comprehensive understanding of insurance company, managed care organizations and third party administrator pharmacy benefit plan parameters; strong quantitative analysis skills; strong PC computer skills, including all MS Office products; excellent communication skills, both written and verbal; ability to interface effectively with internal and external customers; strong organizational skills.

Advanced Pharmacy Concepts is a nationally respected, independent source for expertise in area of pharmacy benefit programs and services.  We support the needs of a diverse customer base of managed care organizations, employer groups, Taft-Hartley funds, insurance companies as well as State and Federal government agencies.  Our team of industry professionals has an average of over 13 years of PBM, managed care, hospital operations and clinical pharmacy experience which provides our clients with single source for consulting, compliance auditing, data analytics and clinical program support. 

Candidates must have the ability to travel extensively throughout the United States.  Bachelor's degree in a relevant field is required.  A Master's degree is preferred.  Veterans and minorities are encouraged to apply.   Please send all resumes and cover letters to hpetrone@apc-rx.com.

Come join our growing team!

Due to the extensive growth of our PBM Audit Services business, Advanced Pharmacy Concepts is seeking professionals with experience in pharmacy benefits to work in our dynamic and progressive consulting firm as a Healthcare Audit Analyst.

We are looking for qualified candidates who possess excellent attention to detail, project management skills, and the ability to work well in a team environment.  Ideally, applicants should have 3+ years of health care related experience in pharmacy benefits management, health insurance, or health policy. However, candidates from the financial services industry with demonstrated analytical and mathematics expertise will certainly be considered.  Applicants must have strong computer skills, including proficiency in Microsoft Excel, SQL or other programming languages.   Excellent writing skills and the ability to travel will also be required from a successful candidate. 

A Bachelor degree in a relevant field is required; quantitative analysis is a plus. Veterans and minorities are encouraged to apply. 

Advanced Pharmacy Concepts is a nationally respected, independent source for expertise in area of pharmacy benefit programs and services.  We support the needs of a diverse customer base of managed care organizations, employer groups, Taft-Hartley funds, insurance companies as well as State and Federal government agencies.  Our team of industry professionals has an average of over 13 years of PBM, managed care, hospital operations and clinical pharmacy experience which provides our clients with single source for consulting, compliance auditing, data analytics and clinical program support. 

Please send all resumes and cover letters to hpetrone@apc-rx.com.

Come join our growing team!

Advanced Pharmacy Concepts (APC) is pleased to announce the promotions of several key members of the team as a result of our continued success and growth in the pharmacy benefit consulting industry. 

Mary T. Ross has been promoted to Chief Operating Officer and will have direct responsibility for the day to day operations of the Audit Services and Consulting Services business units, the latter of which also includes the Clinical Services team.  She will play a key role in the design and execution of operational efficiencies that will enhance the customer experience and optimize new product development. Mary joined APC in 2004 and brings over 20 years of valuable experience in the health care field, including ten years working for major PBM organizations.  Prior to her new role, Mary had overall responsibility for APC Consulting and Clinical Services as well as APC Government Programs.  Mary holds a Bachelor of Science in Biology degree from Providence College and an MBA with a concentration in Statistics from the University of Rhode Island.

Amanda P. Gallagher has been promoted to Director of Consulting Services, reporting directly to the Chief Operating Officer.  In her new role as a member of the executive team, Amanda will be responsible for the consultants and clinical pharmacists involved in a wide variety of engagements ranging from request for proposal (RFP) projects for pharmacy benefit manager services to outsourced clinical support for managed care organizations.  Prior to joining the company, Amanda spent 13 years career in the specialty pharmacy industry at BioScrips where she held multiple client-facing roles with increasing responsibility involving account management, client implementations, new business and product development.  Amanda holds a Bachelor of Arts degree from the University of Rhode Island and is currently completing her Masters in Health Care Administration at Cambridge College.

John Smith has been promoted to the Interim Director of Information Technology Services.  John joined Advanced Pharmacy Concepts in 2000 as an auditor and has assumed roles of increasing responsibility as the company has continued to grow.  He has overall management accountability for data management and analytical services as well as maintaining our compliance with HIPAA and HITECH security standards.  Prior to joining Advanced Pharmacy Concepts, John held several positions with ProMark/M.I.M./Scrips Pharmacy Solutions, a PBM and specialty pharmacy firm. During his tenure with ProMark/M.I.M./Scrip Pharmacy Solutions, John conducted data analysis for manufacturer rebate contracting, administration and allocation to clients including partial automation of the process.  John later moved to the clinical department where he was responsible for data management for all clinical and management projects.  Prior to entering the healthcare field John worked in the financial services industry as a short term funds manager and project accountant for Old Stone Bank.

"We are delighted to announce these promotions which are an indicator of our continued commitment to improve our customer experience" said Dr. Kimberly P. McDonough, President and CEO of Advanced Pharmacy Concepts.  "The addition of Amanda and John, along with Mark Anderson (the Director of Audit Services) to the executive team will enhance our leadership position in the pharmacy benefit consulting and auditing industry."

About Advanced Pharmacy Concepts

Founded in 1997, Advanced Pharmacy Concepts has become a nationally respected, independent source for expertise in pharmacy benefit programs and clinical services that supports the needs of a wide variety of plan sponsors, including state and Federal government agencies.  The company provides comprehensive pharmacy benefit consulting services, PBM compliance auditing, clinical program support and benefit strategy for clients across the country.  Advanced Pharmacy Concepts is registered in the Central Contractor Registry of the Federal Government and is a certified small woman-owned business (SWOB) in the states of Massachusetts, North Carolina and Indiana.  Dr. McDonough was selected by the U.S. Small Business Administration (SBA) as the 2007 Rhode Island Small Business Entrepreneur of the Year.  In 2009, Advanced Pharmacy Concepts received recognition by INC. Magazine as one of the Top 5000 fastest growing companies in the United States.  For more information, please see our website at http://www.apc-rx.com/.

Contact:

David C. Fetherston

Vice President of Marketing

Advanced Pharmacy Concepts

6899 Post Road

North Kingstown, RI 02852

dfetherston@apc-rx.com

401-295-7660 ext. 235 (direct)

401-295-8815 (Fax)

North Kingstown, RI, October 6, 2011:  Advanced Pharmacy Concepts is pleased to announce the promotion of Mark Anderson to the position of Director for the Audit Services practice within the firm.  Mr. Anderson will lead a team of professionals who provide comprehensive pharmacy benefit manager (PBM) contract compliance audit expertise including pharmacy claims pricing analysis, benefit design and claim edit adjudication accuracy as well as rebate administration evaluations.  Under his leadership, the Audit Services practice will continue to extend its reach into key market segments including managed care organizations, Medicare Part D plan sponsors, self-insured employer groups, state government agencies and Taft-Hartley funds.

Mr. Anderson brings over 21 years of auditing experience from both the health care and financial services industries.  He spent over 15 years with BioScrips in roles of increasing responsibility within the internal audit operation.  At BioScrips, Mr. Anderson was instrumental in the development and implementation of internal standards related to Sarbanes-Oxley regulations for the infusion, mail order and PBM business units.  He is also an Accredited Health Care Fraud Investigator (AHFI) and managed a fraud investigation team that conducted approximately 300 on-site audits per year.  Prior to his tenure at BioScrips, Mr. Anderson held positions in auditing and treasury operations with prestigious financial services institutions including Fleet Bank (now Bank of America), Citizens Bank of Rhode Island (a RBS subsidiary) and State Street Bank and Trust.

Mr. Anderson holds a Bachelor of Science and a Masters in Business Administration from the University of Rhode Island.  He is also a member of the National Health Care Anti-Fraud Association and is a member of the Institute of Internal Auditors.

"Mark's prior industry experience, including his in-depth understanding of both pharmacy and PBM operations, will be a tremendous asset to our company as he takes over leadership responsibility for the audit team" said Dr. Kimberly P. McDonough, President and CEO of Advanced Pharmacy Concepts. 

About Advanced Pharmacy Concepts

Founded in 1997, Advanced Pharmacy Concepts has become a nationally respected, independent source for expertise in pharmacy benefit programs and clinical services that supports the needs of a wide variety of plan sponsors, including state and Federal government agencies.  The company provides comprehensive pharmacy benefit consulting services, PBM compliance auditing, clinical program support and benefit strategy for clients across the country.  Advanced Pharmacy Concepts is registered in the Central Contractor Registry of the Federal Government and is a certified small woman-owned business (SWOB) in the states of Massachusetts, North Carolina and Indiana.  Dr. McDonough was selected by the U.S. Small Business Administration (SBA) as the 2007 Rhode Island Small Business Entrepreneur of the Year.  In 2009, Advanced Pharmacy Concepts received recognition by INC. Magazine as one of the Top 5000 fastest growing companies in the United States.  For more information, please see our website at http://www.apc-rx.com/.

Contact:

David C. Fetherston

Vice President of Marketing

Advanced Pharmacy Concepts

6899 Post Road

North Kingstown, RI 02852

dfetherston@apc-rx.com

401-295-7660 ext. 235 (direct)

401-295-8815 (Fax)