Melissa Sexton

Account Manager - EGWP PDP

716.250.7374 Melissa.Sexton@pbdrx.com Connect with me on Linked

ABOUT

With over 10 years of health care industry experience specifically focused on Medicare plans, Melissa brings specialized knowledge and a strong work ethic to Pharmacy Benefit Dimensions’ (PBD) Account Management team.

Melissa is a hands-on, hard worker who is detailed-oriented and dependable. Managing Employer Group Waiver Plans (EGWP) accounts requires a thorough understanding of Centers for Medicare & Medicaid Services (CMS) rules and an appreciation of a client’s specific needs. Melissa blends her experience in Medicare with her desire to learn, providing excellent support to PBD clients while learning about the specifics of their business and their industries.

Melissa and her husband, Mike, have two children - Emilee (15) and Jacob (14). Both of Melissa’s children are gifted athletes, and outside of PBD, you will likely find Melissa cheering for them at horseback competitions and baseball and hockey games.

EXPERIENCE

As an expert in the intricacies of Medicare plans and CMS regulations, Melissa works to support the account management needs of PBD’s EGWP clients. These needs typically include everything from ensuring that the correct documents are filed with CMS within specific timeframes to educating clients about enrollment, the coverage gap and other Medicare essential topics.

Prior to entering the health care industry, Michelle attended the University at Buffalo as a full-time undergraduate, while working third shift as a manufacturer and dispatcher at American Axle. Melissa continued her education at UB, attaining a master’s with concentrations in Management Information Systems (MIS) and International Management.

Upon graduating, Melissa worked for the Blues plans in Medicare Group and Individual Sales. Melissa assisted clients with renewals, worked with actuaries to attain plan rates, plan designs and planning for open enrollment to go off without a hitch. Melissa brought her expertise in Medicare to PBD in 2018 and has built her career on that foundation ever since, managing all of PBD’s EGWP groups.

COMMUNITY WORK

Melissa is an active volunteer in her daughter’s Girl Scout Troop, working with them to organize and fulfill various collection drives for donations, food and supplies, as well a meal prep programs for area homeless.

EDUCATION

DUTIES AND RESPONSIBILITIES:

  • Account strategies
  • Client retention
  • Cross-team collaboration
  • Clinical data reviews
  • Strategic business planning
  • Special project initiatives
  • Implementing benefit changes

“Make sure to learn something new every day."

Fun Fact:
Melissa is a voracious reader. Her top 3 books are: The Institute by Stephen King Cutting for Stone by Abraham Verghese The Extraordinary Life of Sam Hell by Robert Dugoni