Here's a bio that I made for work, that I figured would work here!
Michael Cooley is a pharmacist with diverse experience spanning managed care, ambulatory care, and formulary management. Since beginning his pharmacy career in 2019, Michael has worked across multiple healthcare sectors including Medication Therapy Management (MTM), charity mail-order pharmacy services at Good Pill Pharmacy, and pharmacy benefit management (PBM) leadership at ProCareRx.
At ProCareRx, Michael served as a Formulary Design Supervisor, where he specialized in building and optimizing formularies for Medicaid Fee-for-Service (FFS) and managed Medicaid plans. His work involved extensive collaboration with clinical, financial, and operations teams to develop Preferred Drug List (PDL) strategies that balanced clinical efficacy with cost-effectiveness. He led initiatives to design supplemental rebate programs, maintain CMS-compliant formularies, conduct competitive drug class reviews, and implement strategies to maximize federal and state drug rebate revenues under the Medicaid Drug Rebate Program (MDRP).
Michael's expertise in Medicaid policy includes deep familiarity with CMS regulations, MDRP operations, state supplemental rebate contracting, and Medicaid Managed Care pharmacy strategies. He has contributed to major projects involving Medicaid pharmacy carve-outs, state RFP evaluations, rebate dispute resolution processes, and strategic planning for drug utilization management. His work has supported both state agencies and PBM operations to ensure compliance, improve rebate capture, and optimize drug coverage while maintaining patient access.
Currently, Michael serves as the Medicaid PDL & Rebate Strategy Manager at MedImpact. In this role, he manages the Medicaid Fee-for-Service (FFS) supplemental drug rebate program and ensures CMS compliance across multiple state contracts. Michael works collaboratively with internal subject matter experts (SMEs), consultants, and senior leadership to build the infrastructure needed to support and evolve MedImpact's Medicaid FFS supplemental rebate program. He develops policy and procedure documents, oversees rebate guarantee management, analyzes rebate outcomes, and recommends program enhancements based on utilization trend data and regulatory changes.
Throughout his career, Michael has demonstrated a passion for optimizing healthcare delivery systems, mentoring peers, and driving quality improvement initiatives. He is committed to advancing the practice of pharmacy and promoting patient-centered care models across diverse healthcare settings.