Rene Acker (RPh) is a Senior Director, Government Programs at Visante and has has extensive experience in pharmacy and pharmaceutical delivery systems including managed care, network development, commercial programs, dual-alignment initiatives and CMS sponsored programs.
Prior to joining Visante, Rene was Chief Pharmacy Officer, Senior Vice President and Chief Operating Officer for a full service PBM in the Midwest, and a highly ranked multi-state managed care organization. On a par with the company’s CFO and General Counsel, she reported directly to the owners and the Board of Directors.
During her PBM experience, Rene was responsible for overall company operations management. This included oversight of daily operations including human resource utilization, operational budget management, facilities, technical data auditing, client implementation and support services, medical benefit utilization, call center services, and on-site auditing functions. With oversight of all Program Clinical Operations, which included Medicare Part D, Healthcare Exchange, Medicaid and Commercial, she was responsible for formulary strategic planning, Medicare Part D formulary management, and bid support. She was also responsible for timely and accurate handling of Coverage Determinations Appeals and Grievances for Medicare, Medicaid, Exchange and Commercial utilization management programs.
An important part of her work in this position was to ensure compliance with all regulatory and quality accreditation requirements through maintenance of the P&T Committee process, formularies, and medication coverage policies. As liaison with all state and federal agencies for audits and compliance, she developed policies and procedures to meet URAC accreditation standards for PBMs and NCQA standards for health plans. During her tenure in this position, the managed care organization was the number one ranked Medicaid HMO in multiple states and both state plans ranked in the top 10 of NCQA’s Medicaid Health Insurance Plan Rankings.
Previous to her work in the PBM space, Rene was Pharmacy Director for multi-state managed care plan. In this position she managed all staff pharmacists and pharmacy technicians as well as directed formulary redevelopment, integration of medical and pharmaceutical care, and development of Care Coordination, and Call Center Operations. She was responsible for compliance with all regulatory and quality accreditation requirements as well as overseeing formulary management and related to policy decisions.
Rene Acker received a Bachelor of Pharmacy degree from the Wayne State University College of Pharmacy and a Bachelor of Arts in biology from Wayne State’s College of Science. In addition to her Michigan state licensure in pharmacy, she is a licensed preceptor for pharmacy education and has additional training in business management, medication therapy management and is a certified immunization pharmacist. She is active with the National Council for Prescription Drug Plans, Michigan Association of Health Plans, Pharmacy Benefit Management Institute, and the Academy of Managed Care Pharmacy.