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Grant Knowles PharmD, CSP

Senior Consultant

As Vice President of Business Development, Industry Relationships, & Operations (among other roles) for a major health insurer-owned specialty pharmacy over 10 years, Grant Knowles has direct experience running and growing an award-winning specialty pharmacy enterprise.  His expertise includes specialty pharmacy accreditation, wholesaler negotiation, 340B contract pharmacy strategy, limited distribution drug access, direct drug manufacturer negotiation for pricing and programs, enhanced services offering development, GPO partnerships, and payer contracting and pricing negotiations.   Grant has additional experience in specialty infusion as President of a joint venture startup home infusion pharmacy organization where he was responsible for long-term strategic growth and diversification expansion.  


Grant has more than 15 years of focused expertise in specialty pharmacy, managed care pharmacy, industry/trade relations, population health management, supply chain/procurement, channel management, contracting/negotiations, and more as an executive pharmacy leader.  He has held executive leadership positions for operations and business development that included responsibilities of pricing & profitability, manufacturer partnerships, health system partnerships, account management, data/reporting, strategic planning, clinical and manufacturer program development, and more.  



Grant's accomplishments and experiences include:

  • Starting & growing a nationally recognized, award-winning specialty pharmacy 

  • Managing, negotiating, and transitioning billion-dollar drug wholesaler agreements

  • Recruiting top talent for sales, clinical programs, procurement, account management, and 340B programs

  • Developing and growing contract pharmacy partnership program to impact bottom-line performance significantly

  • Led five consecutive years of 100% client satisfaction scores (payor and manufacturer)

  • Successful URAC specialty pharmacy accreditation/reaccreditation of a 50-state licensed specialty pharmacy

  • Growing substantial limited distribution drug access and profitability

  • Improving gross margin opportunities through manufacturing and GPO partnerships

  • Developing and standardizing operational, clinical, and financial metrics

  • Long-term strategic planning using SMART goals, OKR, and MBO

  • Implementing and negotiating managed care drug rebates inclusive of financial impact analysis and criteria compliance evaluation

Grant Knowles PharmD, CSP
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