During his eight years working within the Pharmacy Benefit Management (PBM) industry, Mr. Opinante has had many notable accomplishments. His primary responsibility during his tenure in the PBM industry was Business Development for the eastern United States. His efforts contributed to his employer being named as the #1 fastest growing businesses in CRAINS, and the #4 fastest growing business in America. In addition to his business development responsibilities, Mr. Opinante was responsible for the conception and implementation of a PBM revenue forecasting model that is still in use today. The PBM revenue model Mr. Opinante created evaluates all PBM revenue sources, and is used in determining pricing offered to new clients, and existing clients upon renewal. It is this exceptional level of technical knowledge of the Pharmacy benefit industry that makes Mr. Opinante uniquely qualified as an auditor and consultant.
Mr. Opinante has been very active in educational initiatives designed to help unveil the complexity of the pharmacy benefit industry. As the featured speaker of the national PBM educational series “Taming the Tiger”, Mr. Opinante has had the opportunity to present his “PBM 101: Pricing and Revenue Models” throughout the Country. Mr. Opinante has had the privilege of supporting education and awareness of PBM business models at many industry venues. As a speaker at the Health and Welfare Conference for Mid- Sized Employers, Made In America Taft Hartley Benefits Summit, the National Association of Police Officers (NAPO), and the Health Care Administrators Association (HCAA), Mr. Opinante is dedicated to offering his experience to provide industry colleagues with a unique understanding of the pharmacy benefit industry. Most importantly, Mr. Opinante provides valuable insight into how pharmacy benefits interface with the healthcare delivery system as a whole.
Currently Mr. Opinante applies his experience and expertise towards
Pharmacy Benefit Auditing, Consulting, and Request for Proposal Submission and analysis. As a prior PBM executive, Mr. Opinante understands the needs of both the plan sponsor and the PBM and works towards the common goals of both parties
Prior to working within the PBM industry, Mr. Opinante had a successful management career working for a New York based Blue Cross Blue Shield plan, and as a Large Group Representative for US Healthcare. This background in health plan operations provides Mr. Opinante with a very highly attuned awareness of all aspects of the healthcare delivery system.
Mr. Opinante can be contacted:
Seneca Consulting Group, Inc
68 South Service Road, Suite 100
Melville, NY 11747
866-487-4157 x 101