Babette Edgar brings to Gorman Health Group a variety of clinical and business skill sets in the areas of Managed Care and Medicare.  Her primary specializations include formulary management, benefit design, utilization management, disease management and marketing for the Medicare Part D drug benefit and commercial managed care market segments.  Additionally, she has worked with pharmaceutical companies to help with launch and pull-through strategies to increase brand product sales and market within the managed care and employer market segments.

Prior to joining GHG, Babette was the Director of the Division of Finance and Operations for the Medicare Drug Benefit Group at the Centers for Medicare and Medicaid (CMS), where she directed building and implementing the formulary and benefit design review processes for the Part D drug benefit. She oversaw the CMS Part D team that developed the agency’s marketing guidelines and marketing models, and conducted oversight of the marketing review process.  Babette also directed CMS operations for reviewing and monitoring the licensure and solvency of Part D plan sponsors, assisted in developing transition guidance for Part D plans with patients migrating from Medicaid or other benefits; and provided input into the Part D regulations and other subregulatory guidance from a managed care pharmacy perspective.

Previous to her term at CMS, Babette was Vice President, Clinical Business Development at Caremark/AdvancePCS, where she directed sales for a multi-million dollar disease management product line, and directed account management for 16 premier accounts, including Blue Cross plans, managed health plans, Medicare/Medicaid, third party administrators and large and small employers.  Babette previously served as Director of Clinical Services for Advance Paradigm, where she ran the P and T process, performed academic detailing, and managed the clinical team responsible for developing clinical content and clinical strategy.

Babette has authored many articles in peer-reviewed journals, and has been a speaker at many national meetings, conferences and symposia.  She maintains her clinical teaching appointment with the University of Maryland.