Dawn Becher
Ballwin
Summary
A proven medical professional who possesses clinical and administrative experience, as well as leadership qualities
Overview
33
33
years of professional experience
1
1
Certification
Work History
Access Reimbursement Manager-Pulmonary Hypertension
Syneos Health/Merck
10.2023 - Current
- Analyze access/reimbursement issues
- Work with HUB on reimbursement issues
- Provide product access/reimbursement education to HCP offices
- Provide access/reimbursement education to field teams upon approved direction.
- Coordinate on access/reimbursement issues with third parties including hubs
- Provide education and support on Specialty Pharmacy issues for pharmacy benefit products
- Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
- Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
- Educate and update HCPs on key private and public payer coverage and changes that impact product access for patients
- Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures, Finger Tip Formulary (FTF)
- Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
- Demonstrate knowledge of and communicate information about access resources and payer processes/policies
- Attend National and Regional Meetings
- Participate in Gig assignments with Marketing team to enhance the patient journey
- Pinnacle award for 2024
- Recognition at 2025 PHPN Advisory Board from top COE’s
Nurse Manager-Pulmonary Arterial Hypertension (PAH)
CVS Health
04.2009 - 10.2023
- Oversaw the nursing PAH operations in central region of US. This includes collaborating with Specialty Pharmacy operations to support the PAH Nursing team. Collaborate with sales to increase the PAH market share.
- Reported to Director of Specialty Nursing to discuss staff concerns, education opportunities for nurses, customer service issues (physicians, patients and caregivers) and budget compliance.
- Worked with various Support Programs (UNITE US, PAP, Various Funding options)
- Provided education to patients, families and healthcare providers on Pulmonary Arterial Hypertension therapies (Oral, IV infusions, SQ infusions and inhalation therapies)
- Assisted in precepting employees, with regards to PAH therapies & Infusion pumps
- Provide support to MD offices and hospitals in referral process, setting up and conducting training. Provide support to MTP Pharmacy, as requested.
- Attended trade shows and Support Group Meetings
- Assisted Sales force with marketing to MD offices, hospitals, and in-services for staff, as requested.
- Managed 30 Registered Nurses throughout Central US
- Managed Five Data Entry Staff-Support for Adherence with Manufacturer guidelines
- Prepare and Attended Manufacturer Audits and QBR’s, as requested by Director of Nursing
- Assisted with CCT (Coram Clinical Trials) patients and ensure pharmacy is up to date on products
- Completed monthly financial statements
Pathways Hospice
09.2017 - 10.2022
- Admissions, Routine Visits on hospice patients in homes, nursing homes and ALF’s
- Coordinate care, evaluate and admit patients, per regulations
- Phone triage, as needed
After Hours Clinical Support Specialist
Smiths Medical MD
12.2003 - 09.2009
- Provide clinical telephone support to Patients, Caregivers and Healthcare Providers on Diabetes and Cozmo Insulin Medical Devices
- Research and implement CEU opportunities for Clinical Staff
Clinical Liaison
Select Specialty Medical Corporation
10.2007 - 03.2009
- Market to Physicians (Pulmonologist, Plastic Surgeons and IM) Case Managers and Social Workers.
- Assist with Recruitment of Physicians for Specialty Programs
- Speak with patients and families regarding Long Term Acute Care.
- Perform Clinical Assessments on patients to confirm that they meet criteria.
- Assist referring institute in transfer of patient.
- Negotiate rates with insurance companies.
- Provide Educational In-Services to Hospital staff (Physicians, Nurses and Case Managers).
Cardiopulmonary Nurse Specialist
Accredo Therapeutics
10.2006 - 06.2007
- 85% of time spent in field creating and maintaining business relationships Current territory Southern/Central Illinois and Missouri (minus Kansas City).
- Educated Insurance Companies, Physicians, Nurse Coordinators and Pharmacists on PH
- Assisted Sales Force and Marketing with calls on Pulmonologists, Rheumatologists, Immunologist and Hemophilia Treatment Centers.
- Provided in-service training to Physicians, Nurses, Patients and patient families on Ventavis, Flolan and IV & SQ Remodulin therapies.
- Acted as a Community Support Advocate for the region, with Hemophilia and PAH.
- Assisted with setting up PAH Support Groups and obtaining sponsors.
- Assisted with reimbursement issues-Medicare/Medicaid/managed-care/check benefits with Director of Contracts on specific issues.
- Case Managed and coordinated care of patients with chronic diseases (Hemophilia, Alpha-1 and Autoimmune Disorders) Assisted patients with Customer Service Issues.
- Supervised and Preceptor for incoming Per diem nurses
Clinical Sales Support Trainer
Mallinckrodt NPB
06.1998 - 12.2000
- Developed appropriate instructional material for training.
- Selected and developed evaluation material to be used at completion of courses.
- Performed research on reimbursement for Oxygen Therapy Products.
RN Case Manager Geriatrics /Pediatrics
Nurses & Company
07.1995 - 05.1998
RN-Staff
Cardinal Glennon Hospital
06.1992 - 07.1995
Education
Prior Authorization Certification - undefined
09.2023
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Lutheran Medical Center School of Nursing/Webster University
01.1993
Skills
- Experience with IBM compatible computer systems and software including:
- Excel 50, Lotus 1-2-3, Word, PowerPoint, PRMS, Microsoft Outlook, Excel
- Bob Pike’s Train The Trainer, High Communication Skills Seminar, Strong Physical Assessment Skills, EPIC, Pyxis and EMTEK Systems
- Excellent verbal and written communication skills
Certification
- Registered Nurse-Multi state license
- BLS Certification
Timeline
Access Reimbursement Manager-Pulmonary Hypertension
Syneos Health/Merck
10.2023 - Current
Pathways Hospice
09.2017 - 10.2022
Nurse Manager-Pulmonary Arterial Hypertension (PAH)
CVS Health
04.2009 - 10.2023
Clinical Liaison
Select Specialty Medical Corporation
10.2007 - 03.2009
Cardiopulmonary Nurse Specialist
Accredo Therapeutics
10.2006 - 06.2007
After Hours Clinical Support Specialist
Smiths Medical MD
12.2003 - 09.2009
Clinical Sales Support Trainer
Mallinckrodt NPB
06.1998 - 12.2000
RN Case Manager Geriatrics /Pediatrics
Nurses & Company
07.1995 - 05.1998
RN-Staff
Cardinal Glennon Hospital
06.1992 - 07.1995
Prior Authorization Certification - undefined
undefined
Lutheran Medical Center School of Nursing/Webster University