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Patrick Cambel, CPhT

Pharmacy Benefits Consultant
San Diego, CA, US

Tel: +1 858 2025021

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Professional Designations

  • Certified Pharmacy Technician, Pharmacy Technician Certification Board
  • Pharmacy Technician License, California Board of Pharmacy

Education

  • BS, Pharmacology, University of California, Santa Barbara

Current Responsibility

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

Experience

Patrick works in the Health practice of the Hartford office where he currently focuses on pharmacy benefits. His specialty is in pharmacy claims analytics, auditing, contracting, market checks, PBM requests for proposals, 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:

  • Pharmacy benefit manager audits
  • Pharmacy claims processing
  • Pharmacy audits
  • Pharmacy claim analytics
  • PBM contracting
  • PBM vendor selection and oversight
  • Benefit plan design
  • Contact center operations
  • Fraud, waste, and abuse
  • Medicare Part D data validations
  • Medicare Part D Retiree Drug Subsidy (RDS)
  • Performance guaranteesPrior authorization processing
  • Cost analysis

Prior to joining Milliman, Patrick previously worked for a major pharmacy benefit manager and has pharmacy field experience working at multiple major retail pharmacy chains. Patrick worked in multiple operational roles including contact center, prior authorizations, and benefit configurations. In addition, Patrick held positions in internal audit and provider audit.

  • Work at Milliman

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