OmniHealthRx Advisors
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Your Health Experts Advisory Team

Most advisors pick a side. We connect them all.

The only side we're on is yours.

Strategic advisory from operators who now advise — helping manufacturers, PBMs, GPOs, health plans, employers, wholesalers, pharmacies, 340B stakeholders, and patient-services organizations turn fragmented market complexity into integrated, executable strategy across access, economics, contracting, channel design, and execution.

Schedule a Consult Explore the Six Pillars

As trusted advisors, we are committed to helping organizations navigate complex challenges, optimize outcomes, and achieve sustainable growth.

The Six Pillars

Six pillars across the ecosystem. One integrated view.

Across manufacturers, PBMs & GPOs, health plans & employers, trade & distribution, 340B, and patient access — we translate fragmented market signals, payer and PBM behavior, and channel economics into one integrated plan that improves access, economics, compliance, and execution.

01

Manufacturers

Commercialization, access, launch, value, contracting & channel strategy — pre-launch through pull-through.

  • Commercialization strategy across access, trade, finance, brand & patient services
  • Pre-launch, launch & post-launch market access planning
  • Payer value story, board-level access materials & stakeholder mapping
  • Gross-to-net, ASP, ANRP, rebate, chargeback & channel-mix modeling
  • Medical vs. pharmacy benefit strategy & site-of-care economics
  • Biosimilar formulary, contracting, interchangeability & channel strategy
  • DTC & patient-access alignment with affordability and payer strategy
  • Manufacturer education on how PBMs, plans, employers & pharmacies decide
02

PBMs & GPOs

Formulary, rebate economics, GPO contracting, network design & vendor accountability.

  • PBM, GPO & health-plan landscape strategy and decision-lever analysis
  • Formulary positioning, exclusion strategy & utilization-management design
  • GPO contracting, aggregation economics, rebate flow & admin-fee structures
  • Rebate-dependency analysis & incentive alignment
  • Contract-language advisory, negotiation strategy & risk scoring
  • Network design, specialty-pharmacy alignment & channel steerage
  • PBM-owned specialty-pharmacy dynamics & performance benchmarking
  • Vendor accountability, reporting & legislative-impact analysis
03

Health Plans & Employers

Payer economics, benefit design, total cost of care & employer-ready strategy.

  • Coverage strategy across commercial, Medicare, Medicaid, exchange & employer-sponsored
  • Health-plan economics, total cost of care & budget-impact modeling
  • ASO employer benefit design, PMPM forecasting & savings attribution
  • PBM / vendor evaluation, program validation & contract benchmarking
  • Utilization management — prior authorization, step therapy & quantity limits
  • Channel steerage across retail, specialty, medical benefit & site-of-care
  • Employer-ready reporting, executive dashboards & plain-language economics
  • AI-powered claims & POS segmentation to surface cost drivers and leakage
04

Wholesalers, Trade & Distribution

Channel design, wholesale economics, specialty-pharmacy networks & site-of-care strategy.

  • Channel design across the pharmacy & medical benefit
  • Wholesale strategy, distribution economics & channel financial implications
  • Specialty-pharmacy network design, optimization & benchmarking
  • Limited-distribution, open-network & hybrid channel models
  • Buy-and-bill vs. specialty-pharmacy modeling
  • Site-of-care & alternate-site-of-care strategy
  • Retail channel implications & retail-to-specialty handoffs
  • Gross-to-net, ASP & reimbursement strategy across the channel
05

340B & Revenue Cycle

340B economics, revenue integrity, compliance risk & policy strategy.

  • 340B opportunity assessment across manufacturers, plans, employers & covered entities
  • Covered-entity (CE) & TPA relationships and contract-pharmacy network design
  • Carve-in / carve-out modeling & duplicate-discount exposure analysis
  • Revenue integrity — split billing, denial management & coding optimization
  • HRSA audit readiness & operational risk mitigation
  • Policy & legislative monitoring — manufacturer restrictions & payer-driven disruption
  • AI risk analytics — duplicate-discount detection & 340B exposure modeling
  • 340B financial dashboards & plain-language economic translation
06

Patient Services, Retail & Access Operations

HUB strategy, affordability, retail pharmacy, access operations & patient-journey design.

  • HUB design — benefits verification, prior auth, affordability, adherence & field reimbursement
  • Patient-journey mapping & access-friction reduction
  • Time-to-therapy optimization & abandonment reduction
  • Copay, foundation & financial-assistance strategy
  • Retail-pharmacy operations & retail-to-specialty handoffs
  • Vendor strategy, selection, performance management & accountability
  • AI-enabled adherence prediction & access-barrier identification
  • Specialty-pharmacy network design aligned to payer coverage

About

Operators who now advise.

OmniHealthRx Solutions is your health experts advisory team — led by executives who have sat in every seat at the table. We don't just study the system; we've run it.

RS

Roxanne Schwans, MBA

Founder & Chief Executive Officer

Roxanne@omnihealthrx.com(224) 727-2226
“I have sat in every seat at the table — as a PBM executive, a health plan economist, a manufacturer general manager, a retail pharmacy COO, and a health system strategist. I understand how each party thinks, what they optimize for, and where the real economic levers are.”

Roxanne brings 30+ years of lived operating experience across every node of the U.S. healthcare ecosystem — from PBM and health plan economics to manufacturer strategy, 340B, biosimilar access, HUB patient services, and health systems.

Prime Therapeutics

SVP, Supply Chain & Industry Relations

Walgreens

SVP / Chief Operating Officer

Johnson & Johnson

General Manager

Amgen · Horizon · Rite Aid · Sanofi

Senior leadership roles

Deep expertise

PBM economicsHealth plan economicsFormulary management340B programsBiosimilar accessHUB & patient servicesSpecialty pharmacyMarket accessRebate strategyHealth system economics

Leadership Team

Senior operators across commercial strategy and operations — each bringing decades inside the payer, provider, and pharmacy ecosystems they now advise.

Megan Butterfield, Chief Operating Officer

Megan Butterfield

Chief Operating Officer

Megan@omnihealthrx.com925.324.0765
“I have spent 20 years inside the payer, provider, and pharmacy ecosystems — not advising from the outside, but operating from within. I know where the margin goes, why it goes there, and how to get it back.”

Megan is a commercial strategy executive with 20+ years of experience optimizing value across the payer, provider, and pharmacy ecosystems. She specializes in specialty pharmacy economics, channel optimization, and data-driven go-to-market strategy — translating complex financial pressures into clear, defensible commercial decisions. Previously serving as VP at Walgreens, Optum, Diplomat, and MedAdvisor, Megan bridges clinical intent and financial performance for pharmaceutical manufacturers navigating competitive specialty markets.

Optum

VP

Walgreens

VP

Diplomat

VP

MedAdvisor

VP, Commercial Strategy

Deep expertise

Specialty pharmacy economicsChannel optimizationPBM strategyNet revenue analyticsCopay & GTN modelingSpecialty drug market accessCommercial contractingData-driven go-to-marketASP protectionPricing strategy
George Kowalski, Operations & Project Management Lead

George Kowalski

Operations & Project Management Lead

George.M.Kowalski4@gmail.comLinkedIn
“I bring a unique dual perspective from having worked on both the service-provider and vendor sides — enabling me to anticipate challenges and connect strategy with on-the-ground execution.”

George is an operations-focused leader with deep experience optimizing performance, driving execution, and building scalable systems across healthcare, retail, and service industries. He has held VP, Director of Operations, and General Manager roles — leading turnarounds that delivered double-digit gains in profitability and employee retention, and standing up data-driven performance tracking across multi-site healthcare operations. His consulting work spans managed care, discount-card and PAP programs, and operational-excellence initiatives — stabilizing workflows and optimizing contracting and reimbursement strategy.

Multiple Business Lines

Vice President

Multi-Site Healthcare

Director of Operations

Retail Operations

General Manager

Managed Care & PAP

Consultant & Project Manager

Published

  • Best Practices for Payer Contracting
  • Pharmacy Returns Policies

Deep expertise

Operational turnaroundsMulti-site operationsManaged careDiscount card & PAP programsPayer contractingReimbursement strategyProcess optimizationPerformance tracking & KPIsP&L improvementTeam building & retention
Elena Moraitis, Consultant

Elena Moraitis

Consultant

elena@omnihealthrx.com847.612.0679
“Pricing and contracting in the pharmaceutical space isn't just about numbers — it's about understanding how every decision ripples through revenue. I've spent 20 years in those details, and I know where gross-to-net erodes, why it happens, and how to build the frameworks that protect it.”

Elena is a strategic Pricing & Contracting leader with 20 years of progressive pharmaceutical industry experience spanning government price reporting, gross-to-net optimization, and enterprise contracting strategy across commercial and government channels. She has led pricing and contracting functions through product launches, acquisitions, and lifecycle management, building scalable operations along the way. With a strong track record of advising C-suite and senior leadership on competitive positioning and commercial effectiveness, Elena translates complex regulatory and financial pressures into clear, defensible pricing strategies that protect revenue, ensure compliance, and drive long-term growth.

Amgen

Pricing & Contracting

Horizon Therapeutics

Pricing & Contracting

AbbVie

Pricing & Contracting

Deep expertise

Government price reportingGross-to-net optimizationEnterprise contracting strategyCommercial & government channelsLaunch pricing strategyLifecycle managementPricing through M&APrice-reporting complianceCompetitive positioningC-suite pricing advisory

Let's build your strategy together.

A focused conversation — no generic frameworks, just real-world context from day one. Tell us where you're headed and we'll show you how OmniHealthRx becomes an extension of your team.

Schedule a Consult (224) 727-2226

Send us a message

Tell us where you're headed and we'll follow up.

Roxanne@omnihealthrx.com · Roxanne Schwans, Founder & CEO