Wayne Miller, RPh, MBA

Wayne Miller brings to Gorman Health Group clients broad Medicare and Medicaid prescription drug operational leadership experience in multiple practice settings.

Wayne has led many initiatives including the development of operational improvement for new and expanding MA-PDs and SNPs, prescription drug event reconciliation, and PBM compliance review and audits. Wayne’s specialization in the Part D elements, including CMS Star Ratings, formulary management, regulatory compliance and auditing, pharmacy and therapeutics committees, delegated function oversight, and provider communication, have made him an invaluable member of the GHG mock audit and audit preparation teams for MA-PDs and PDPs.

Over the past 28 years, Wayne worked as a hospital pharmacy director, as president of pharmacy retail and long-term-care enterprise, and in the managed care industry where responsibilities included management of MA-PD Star Ratings development, formulary development, Part D benefit design and implementation, clinical utilization management, regulatory compliance, internal auditing, and financial performance of the Medicare Part D.

Wayne has served as past president of Central Pennsylvania Pharmacists Association and has served on various councils, commissions and committees for state and national pharmacy organizations. Wayne has also presented at conferences on a state and national level on for pharmacy operations quality improvement, automation, and CMS Star Ratings.