Nicholas D'Ambrose

Nicholas D'Ambrose has over 14 years of experience in the healthcare industry. Their most recent role is as Director of Payor Contracting at Shields Health Solutions, which they began in November 2021. Prior to this, they worked at Prime Therapeutics for five years, starting in 2016. During their time at Prime Therapeutics, they held various roles, including Specialty Network Program Director, Specialty Network Consultant, and Sr. Product Manager. Nicholas was responsible for developing and implementing specialty pharmacy networks, assisting in the development of specialty network strategy, and developing and re-launching a product targeting specialty drug reimbursement.

Between 2014 and 2016, Nicholas worked at BioScrip, Inc. as Director of Contract Management. In this role, they managed a team responsible for contracting, contract implementation, and contract administration. Nicholas also assisted in the development of contracting practices and implemented new processes to streamline the contracting experience. Additionally, they played a key role in developing and implementing a nursing sub-contracting strategy for national home infusion coverage.

From 2011 to 2014, Nicholas worked at Optum as a National Program Manager. Nicholas was responsible for developing reimbursement strategies for home infusion and specialty pharmacy providers and managing relationships with national providers in these areas.

Nicholas' early career includes positions at UnitedHealth Group, where they worked from 2007 to 2011. During this time, they held roles such as Government Programs Operations Manager, Network Contractor, and Associate Network Contractor. In these roles, they were involved in strategic planning, vendor relationship management, and contract negotiation with hospitals, medical groups, and physicians.

Overall, Nicholas D'Ambrose has a strong background in payor contracting, specialty pharmacy networks, contract management, and reimbursement strategy.

Nicholas D'Ambrose completed their high school education at Benet Academy between 1999 and 2003. Following this, they pursued a Bachelor of Science degree in International Business and Finance at Marquette University from 2003 to 2007.