Director, Clinical Pharmacy and Drug Utilization Management
Tufts Health Plan
Susan L. Downard, RPh, BSPharm, has served as the Director of Clinical Pharmacy and Drug Utilization Management at Tufts Health Plan in Watertown, MA, since May 2014. Tufts Health Plan is a highly rated, not-for-profit regional health plan in New England that has received a 5 out of 5 star rating from NCQA for it’s HMO and PPO plans and a 4.5 out of 5 star rating for it’s Medicaid plan (2017-18). Tufts Health Plan has also earned a 5 out of 5 star rating for it’s Medicare plan, putting it in the top 4% of plans in the country (2018). The plan currently serves over 1.1 million members in MA, NH and RI and will expand to CT in 2019. Susan spent the previous 18 years serving in various managed care pharmacy leadership roles at Kaiser Permanente in both the Colorado and Mid-Atlantic States regions. Her primary focus is in the areas of drug trend management and quality and she has extensive Medicare, Commercial, Exchange, and Medicaid experience.
Susan has been active in many professional pharmacy organizations throughout her career, most recently serving on several AMCP committees.
She received her B.A. and B.S.Pharm degrees from the Ohio State University.
Tuesday, October 23
12:45 PM – 2:15 PM
Wednesday, October 24
4:45 PM – 5:45 PM