Jeff Low is a Managing Director at Ankura based in Phoenix. Jeff brings 20 years of diverse pharmacy experience including over 10 years of pharmacy benefit management experience with a focus on Medicare and Medicaid working in various clinical and operational roles. These roles include delivery of coverage determinations and appeals, formulary development/pharmacy and therapeutics committee, pharmacoeconomic evaluations, grievance oversight, claims adjudication, developing clinical programs such as Medication Therapy Management and utilization management, and data analytics.
As a consultant, Jeff has served as a pharmacy expert witness, subject matter expert on the opioid epidemic and Independent Review Organizations, and pharmacy claims audits. Additionally, Jeff has worked with large health systems to enhance the delivery of their compliance programs implementing policies and procedures and development of oversight and monitoring methodologies. He has facilitated many process improvement initiatives in the health plan space to increase the efficiency and effectiveness of operational delivery models.
As a practicing pharmacist, Jeff has served in direct patient care roles working with patients and providers in retail and long-term care pharmacy settings, additionally in health plans (Managed Medicaid and Medicare), facilitating multidisciplinary efforts through nursing, mental health, physician, and network capacities.
