Alay Amin
Summary
Licensed Pharmacist with eight years of experience in prior authorizations and clinical reviews. Expertise in resolving third-party insurance audits and providing patient counseling. Proven ability to support healthcare providers with medical information to enhance patient outcomes. Strong organizational skills and effective clinical program management to boost medication compliance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Clinical Specialty Pharmacist
Apotheco Pharmacy Group
02.2022 - Current
- Provide clinical knowledge to Physicians as per clinical guidelines and determine appropriate therapy depending on coverage formulary.
- Perform coverage determinations for prescriptions drugs as per medications orders and collaborate with physician’s office to work on the prior authorization process.
- Conduct literature search and provide clinical data to support therapy and diagnosis for the prior authorization requests.
- Follow insurance plan formulary criteria to determine appropriate therapy for non-formulary, step-therapy and off-label use medication orders.
- Collaborate and communicate with medical providers and staff in an effective manner to achieve favorable outcomes for the patients.
- Monitor and evaluate outcomes of clinical interventions to analyze the clinical and financial perspective.
- Enhance consumer experience by performing clinical interventions and completing Prior Authorizations in a timely manner.
- Provide consumers accurate product information and appropriate usage of the product to increase compliance.
Pharmacy Supervisor
Medicap Pharmacy Group
01.2021 - 01.2022
- Supervise and coach pharmacy managers to operate a pharmacy efficiently according to business plans and objectives.
- Review monthly P&L reports to identify areas of improvement to increase revenue and utilize key performance indicators to increase efficiency of value based care programs implemented.
- Capturing and maintaining technical and business requirements for CCM/DSME program.
- Collaborate with patients and medical providers to improve patients quality of life and increase patient engagement.
- Work cross functionally with healthcare providers and serve as a pharmacy liaison between doctors and patients to improve health outcomes.
- Develop and implement strategies to meet quality metrics for associated medical providers to help reduce cost of care.
- Oversee and guide pharmacists to perform Comprehensive Medication Review (CMR) as per CMS guidelines to reduce healthcare spending.
- Utilize quality improvement platforms and analyze data to identify gaps in care to improve health goals between provider and the patient.
Pharmacy Operations Manager
Medicap Pharmacy
01.2018 - 01.2021
- Develop and maintain pharmacy performance scales to improve pharmacy EQuIPP score and customer service.
- Assess and evaluate daily pharmacy operations including inventory, purchasing, third party billing and cash flow.
- Manage pharmacy expenses and evaluate monthly third party reimbursements reports to help increase pharmacy revenue.
- Recruit, train and guide pharmacy technicians to improve pharmacy workflow and productivity.
- Provide exceptional customer service to increase pharmacy revenue and sales including prescriptions and over-the-counter medications.
- Create customized care plans, working with nursing home staff and families to assess and meet individual needs.
- Counsel patients on importance of medication compliance upon discharge from nursing home.
- Maintain good working relationships with doctor’s offices and associated nursing homes to provide exceptional quality service.
- Review patient medication profiles and medication history to screen for appropriate drug selection, dosing, contraindications, side effects and therapeutic outcomes.
Pharmacy Manager
HC Good Neighbor Pharmacy
11.2016 - 01.2018
- Developed policies and procedures for effective pharmacy management.
- Received and transcribed prescriptions orders to dispense medications based on optimal drug therapy.
- Reviewed the patient’s medication profile and educated patients on possible drug interactions and potential side effects.
- Performed Medication Therapy Management for patients based on full medication history.
- Interviewed, hired and trained pharmacy technicians and cashiers to maintain customer satisfaction and relationships with patients.
- Performed Drug Utilization Review and provided medication counseling to patients as needed and documented appropriately.
- Implemented new customer service policies to maximize satisfaction and loyalty.
- Administered immunizations and met with patients for medication consultations, effectively improving awareness of pharmacy’s health services.
- Maintained pharmacy inventory based on the budget and customer needs.
Education
Doctor of Pharmacy (PharmD) -
Long Island University
Brooklyn, NY05.2016
Skills
- Clinical Expertise
- Prior Authorization
- Medication Therapy Management
- Drug Utilization Review
- Disease State Management
- Drug Information
- Leadership
- Time Management
- Quality Improvement
Certification
- Registered Pharmacist - State of New York
- Registered Pharmacist - State of New Jersey
- Immunizing Pharmacist - State of New Jersey
Timeline
Clinical Specialty Pharmacist
Apotheco Pharmacy Group
02.2022 - Current
Pharmacy Supervisor
Medicap Pharmacy Group
01.2021 - 01.2022
Pharmacy Operations Manager
Medicap Pharmacy
01.2018 - 01.2021
Pharmacy Manager
HC Good Neighbor Pharmacy
11.2016 - 01.2018
Doctor of Pharmacy (PharmD) -
Long Island University
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