Patrick Cambel

CPhT

Pharmacy Benefits Consultant

San Diego, CA, US

Main +1 858 558 8400 | Office +1 860 687 0182

Patrick is a Pharmacy Benefits Consultant with the San Diego office of Milliman. He joined the firm in 2012.

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Experience

Patrick provides pharmacy benefit management consulting services to both public and private sector clients, including employers, group purchasing organizations, health plans, Taft-Hartley, and multiemployer trusts. Patrick works with these organizations to manage and monitor pharmacy benefits.

Patrick has previously worked for a major pharmacy benefit manager (PBM). He has 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 and provider audits. His specialty is in pharmacy claims processing, auditing, and performance guarantees.

Patrick’s core projects include:

Claims processing and monitoring
Audits – claims, implementation, operational, and rebates
Pharmacy claim data warehousing
Pharmacy analytics
Pharmacy benefit manager request for proposals (RFP) and vendor selection
Market checks
Contract reviews and negotiations
Due diligence in mergers and acquisitions

Publications and Presentations

Pharmacy Benefits Management Institute Annual Meeting, 2018 and 2019.
Society of Actuaries Health Meeting, 2019.
PBM Contracting: Understand then Optimize, August 2020.
Controlling Rx costs: Top 5 reasons for a PBM RFP, March 2021.

Professional Designations

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

Education

BS, Pharmacology - University of California, Santa Barbara

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Publications

Read their latest work

Article

Controlling Rx costs: Top 5 reasons for a PBM RFP

11 March 2021 - by Scott McEachern, Patrick Cambel

Five reasons why RFPs with PBMs should be a regular practice to help control Rx costs.

Article

PBM contracts: Understand then optimize

03 August 2020 - by Scott McEachern, Patrick Cambel

For plan sponsors, being able to pinpoint changes and areas for improvement within the pharmacy benefit manager contract can significantly reduce pharmacy program costs without having to change members’ benefits.

Patrick Cambel

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Experience

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Read their latest work

Controlling Rx costs: Top 5 reasons for a PBM RFP

PBM contracts: Understand then optimize

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Patrick Cambel

Experience

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