Malcolm Redman III

Vice President of Payer Relations at Polaris Pharmacy Services

Award-winning Healthcare Industry expert and executive leader with 27 years of experience building, leading, and inspiring top-performing teams in both Start-up and Fortune 500 organizations. Recognized for developing innovative patient-centered business solutions that deliver significant revenue growth.

Dynamic background in Contracting and Business Development for Value Based, Home Infusion, DME/Ancillary, PBM ,Medicaid, Medicare, Managed Care, Specialty Pharmacy, Retail, ACO , TPA's , Self Funded, Employer Groups, PSAO's, and Clinical Program Management. Committed to making patient experience a measurable outcome!

Throughout his career, Malcolm has prioritized the patient experience, ensuring that care quality and patient satisfaction remain central to his strategic initiatives. His notable achievements include his instrumental role at BioMatrix Specialty Pharmacy, where he spearheaded business development and contracting efforts for the opening of 8 locations. Additionally, at Hy-Vee's Amber Specialty Pharmacy, Malcolm drove business development and Payer Relations for 21 locations, fostering essential partnerships with payers and pharmaceutical companies to enhance access to preferred and exclusive drugs.

 In his leadership roles, Malcolm has overseen contracting, payer relations, and business development for prominent organizations such as Aetna, Humana, and Magellan, demonstrating his ability to navigate complex healthcare landscapes.

Malcolm Redman's extensive experience, innovative mindset, and proven leadership skills make him a highly valued and respected figure in the healthcare industry.

Key Achievements:

• Successfully achieved over $42 million in total revenue while simultaneously reducing overhead expenses by an impressive 32%.

• Designed and implemented an initial business plan that generated over $20 million in revenue.

• Prevented a potential loss of over $76 million by effectively executing an initial business plan.

• Strategically negotiated LOA's for out-of-network relationships, resulting in an additional revenue of over $10 million.

• Implemented a strategic cost restructuring plan, reducing operating expenses by 33%.

• Pioneered the creation of a pharmacy reporting data analytics platform.

• Established revenue stream diversification through the acquisition of the first Big Pharma data contract.

• Attained State Medicaid Contracts across all 50 US states, showcasing a widespread influence.

• Contributed to the ACHC/URAC dual accreditation for Specialty Pharmacies.

• Facilitated the acquisition of 12 new Specialty Pharmacies spanning from the east to the west coast.

• Secured strategic partnerships with key players in both the healthcare and manufacturing industries.

• Provided advisory council services for a Hemophilia program for an impressive 12 years.

• Instituted an audit process and successfully managed state and payer on-site audits.

Awards and Recognitions:

• Making a Difference Award (2016)

• Unsung Hero Award (2017)

• Market Access Infusion Industry Award (2011)

• Hemophilia Cares Award (2013)

Professional Memberships:

• National Association of Specialty Pharmacy (NASP) - Member

• Asembia - Member

• Self-Insurance Institute of America (SIIA) - Member

• Academy of Managed Care Pharmacy (AMCP) - Member

Location

Fort Lauderdale, United States

Links

Timeline

  • Vice President of Payer Relations

    Current role