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Patrick Cambel

Consultant
San Diego, CA, US

Tel: +1 858 2025015

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Professional Designations

  • Pharmacy Technician License, California Board of Pharmacy

Education

  • BS, Pharmacology, University of California, Santa Barbara

Current Responsibility

Patrick is a consultant with the San Diego office of Milliman. He joined the firm in 2012, and has been working in pharmacy since 2006.

Experience

Patrick has previously worked for a major pharmacy benefit manager (PBM) and pharmacy field experience working at multiple major retail pharmacy chains. Patrick has worked in multiple operational roles including contact center, prior authorizations, and benefit configurations. In addition, Patrick held positions in internal audit and provider audit. His specialty is in pharmacy claims processing, auditing, and performance guarantees. He has supported a wide range of clients including Medicare Part D plans, state Medicaid plans, health plans, self-insured employer groups, and third party administrators.

Patrick's experience includes:

  • Benefit Plan Design
  • Contact Center Operations
  • Fraud, Waste, and Abuse
  • Medicare Part D Data Validations
  • Medicare Part D Employer Group Waiver Plans (EGWP)
  • Medicare Part D Retiree Drug Subsidy (RDS)
  • Medicare Part D Star Ratings
  • Performance Guarantees
  • Pharmacy Benefit Manager Audits
  • Pharmacy Claims Processing
  • Pharmacy Audits
  • Prior Authorization Processing
  • Cost analysis
  • Contracting
  • Vendor selection
  • Vendor oversight
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman