Kevin Machi
Pharmacy Operations Leader
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About
Pharmacy operations leader with 9+ years of experience building, scaling, and optimizing community, specialty, and FQHC pharmacy operations. Founded and grew an independent pharmacy from startup to acquisition, expanding from 100 to 3,000 prescriptions weekly while scaling staff from 3 to 25 employees. Proven success increasing specialty pharmacy capture rates from 15% to 80%, generating over $1M annually in specialty margin, and driving significant revenue growth through KPI management, workflow optimization, business analytics, compliance leadership, and specialty pharmacy strategy.
Extensive experience with 340B, Ryan White, ADAP, URAC compliance, payer strategy, and healthcare business operations.
Experience
Clinical Pharmacist/ Clinical Specialty Coordinator, 05/2022 to Current
MCR Health – Bradenton, FL
- Increased specialty pharmacy capture rate from approximately 15% to over 60% through workflow redesign, provider engagement, KPI tracking, and patient retention initiatives.
- Generated over $1 million annually in specialty pharmacy net margin while driving approximately $500,000+ yearly GLP-1 revenue growth through payer strategy optimization.
- Directed end-to-end specialty medication prior authorization workflows across multiple disease states while maintaining compliance with FQHC, 340B, Ryan White, and ADAP.
- Developed and implemented KPI dashboards to monitor prescription capture, turnaround times, prior authorization performance, patient adherence, and financial outcomes.
- Assisted in maintaining specialty pharmacy compliance with URAC standards, payer requirements, accreditation initiatives, and audit readiness.
- Utilized TherigySTM, CoverMyMeds, Athena Health, QS/1, and other healthcare technology platforms to coordinate specialty pharmacy operations.
- Supported 340B program optimization and compliance efforts while maximizing patient access and organizational revenue.
Lawrence Memorial Hospital – New London, CT
- Provided comprehensive clinical pharmacy services for inpatient and ambulatory care populations, ensuring safe, effective, and evidence-based medication therapy
Nutmeg Pharmacy – Moodus, CT
- Founded and scaled an independent community pharmacy from startup to acquisition.
- Grew staffing from 3 employees to more than 25 employees, including pharmacists, technicians, delivery personnel, and administrative staff.
- Increased prescription volume from approximately 100 prescriptions per week to over 3,000 prescriptions per week.
- Developed all pharmacy operational processes, policies, procedures, and compliance programs from inception.
- Led business development, marketing, provider outreach, and community engagement initiatives.
- Grew first-year revenue to more than $300,000, ultimately scaling the business to a successful acquisition by a regional pharmacy chain.
- Maintained full compliance with state and federal pharmacy regulations while overseeing all operational and clinical functions.
Education
Doctor of Pharmacy in PharmD – University of Saint Joseph's (2017-05)
Bachelor Of Science in Allied Business – UCONN (2013-05)
