Senior Director, Pharmacy Solutions
Caron Wingerchuk is a Senior Director of Pharmacy Solutions at Gorman Health Group (GHG). In this role, she has participated in audit remediation, Pharmacy Benefit Management (PBM) delegation oversight and monitoring, Part D benefit testing, and best practice implementation. Caron brings GHG clients more than 20 years of healthcare experience in clinical program development and strategy, Pharmacy and Therapeutics (P&T) Committees and Part D pharmacy operational compliance.
Caron specializes in Medicare Part D regulatory adjudication oversight. With expertise in clinical operations including formulary and utilization management, coverage determinations, Centers for Medicare & Medicaid Services (CMS) audit preparations and universe analysis, Caron offers extensive experience.
Prior to joining GHG, she developed and led a Medicare Quality Monitoring team for a large PBM where she drove operational efficiency by developing automation strategies for adjudication compliance monitoring, supported client audit activities, policy and procedure development and training. She has also worked as a Clinical Specialist and Instructor at multiple teaching hospitals in the USA and Canada where she taught pharmacy and medical residents.
Caron received her Pharm.D. from the University of Minnesota, and her BA and BSP from the University of Saskatchewan. She completed her Internal Medicine Residency at the University of Saskatchewan, and her Nephrology and Transplantation Residency at the Hennepin County Medical Center in Minneapolis.