ALBERT LARRANAGA
Albuquerque,NM
Summary
Organized and ambitious individual searching to obtain employment with a company that offers a positive atmosphere and enhance my professional skills with a stable and dynamic workplace.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Pharmacy Escalation Team
Blue Cross NM
08.2023 - Current
- Established strong policies governing pharmacy operations.
- Performed or assisted with various pharmacy operations, maintained workflow and met schedules and quality requirements.
- Followed department policies, procedures and best practices for pharmacy operations.
- Took ownership of pharmacy operations when needed, made superior decisions and met expectations for productivity, efficiency and accuracy..
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Organized and detail-oriented with a strong work ethic.
- Worked effectively in fast-paced environments.
- Applied effective time management techniques to meet tight deadlines.
Pharmacy Operations Technician
Blue Cross NM
04.2020 - 09.2023
- Responsible for reaching out to the pharmacy and act as a liaison between the sales team and the member.
- Performs all benefits investigations, prior authorizations and financial assistance to ensure patients have access to medication. Help provide copay assistance support.
- Review criteria against plan benefits to determine if the request can be approved and accurately enter Prior Authorizations in claims system to ensure appropriate claims will adjudicate.
- Review pharmacy sales team's paperwork before final submission to coding department for member benefits
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Reviewed processing errors and helped track down root causes.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
Pharmacy Benefit Technician
Presbyterian Healthcare Services
06.2019 - 03.2020
- Provide comprehensive pharmaceutical services for Medicare and Medicaid members.
- Work with pharmacist in reviewing specialty drugs covered under medical policies.
- Responsible for reaching out to patients and act as a liaison between the patient and the provider. Answer questions regarding processed claims.
- Perform analysis of paid and rejected pharmacy claims to confirm accuracy.
- Performs all benefits investigations, prior authorizations and financial assistance to ensure patients have access to medication. Help provide copay assistance support.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
CLINICAL REVIEW TECHNICIAN
PRIME THERAPUETICS LLC
01.2017 - 05.2019
- Review criteria to determine if the request can be approved and accurately enter Prior Authorizations in claims system to ensure appropriate claims will adjudicate.
- Respond to completed requests by creating written communication of the clinical outcome to the member and the member's physician within client specific turnaround times.
- Perform outreach to pharmacies and physician's offices related to the department process across multiple clients to obtain all necessary information related to UM requests, including occasional member assistance.
- Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
- Set up and modified patient profiles to include current medications and insurance details.
Senior Procurement Specialist
Prime Therapeutics, LLC
11.2007 - 12.2017
- Purchase $1-3 million daily of brand name pharmaceutical products ordered from contracted wholesalers.
- Monitor omits and product availability from multiple vendors, monitor appropriate Re-order point/Re-order Quantity for all products and manage product switches.
- Analyze multiple inventory/procurement reports.
- Collaborate with procurement analysts for strategic purchasing decisions. Assist in the negotiations of contracts.
- Perform manual forecasting/trending of all new drugs or those drugs needing adjustment.
- Purchase and maintain specified parameters of generic and direct pharmaceutical products ordered from contracted vendors.
- Review and analyze receipts and purchase orders against physical inventory.
- Contact pharmaceutical manufacturers and vendors concerning issues with purchase orders.
- Maintain site-specific backorder statuses, National Drug Code (NDC) changes and adjustments in AS400.
- Call pharmaceutical manufacturers and vendors concerning issues with purchase orders.
- Perform root cause analysis into any inventory discrepancies and justify if necessary.
- Assist with physical inventories and serve as the lead data entry technician.
- Complete special projects as assigned by management.
- Cross-train as back-up receiver and as database administrator.
- Established relationships with vendors and suppliers to streamline procurement operations.
- Tracked purchase orders and followed up with vendors and carriers to support timely deliveries.
- Managed database of vendor details and pricing information to maintain organization.
- Utilized software to order, track and invoice product shipments.
INVENTORY CYCLE COUNTER
PRIME THERAPUETICS LLC
03.2007 - 11.2007
- Created cycle sheets.
- Conduct the actual cycle count.
- Run various reports, which included; inventory purchase reports, purchasing reports from wholesalers, drug tracking reports and Work in Progress reports.
- Work with Mail Order Fulfillment department to achieve efficient cycle counting.
- Conduct root cause analysis and issue conclusions on root cause findings.
- Assist the Manager of Inventory with Master Drug File Database maintenance.
INVENTORY SPECIALIST
EXPRESS SCRIPTS, INC.
08.2000 - 02.2007
- Responsible for all site to site inventory transfer functions.
- Accurate completion of required system inventory adjustment entries.
- Targeted and executed weekly return of pharmaceutical overstock.
- Verified contract pricing and authorized payment for Accounts Payable processes.
- Cross trained as Inventory System Receiver and Buyer.
- Service delivery to multiple sites and departments.
- Ability to work independently as well as collaboratively.
- Performed data entry and completed proper paperwork.
- Completed physical inventory counts each month.
- Inspected incoming and outgoing shipments to identify discrepancies with records.
- Compared shipping orders and invoices against contents received to verify accuracy.
- Monitored inventory to maintain sufficient supply levels to meet business and customer needs.
- Rejected damaged items, recorded shortages and corresponded with shippers to rectify issues.
- Worked effectively with shippers to resolve shipment issues, damaged materials and shortages.
- Entered and processed patients' prescriptions into internal system.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Education
High School Diploma -
Moriarty
Moriarty, NMUNDERGRADUATE STUDIES -
UNIVERSITY OF NEW MEXICO
Albuquerque, NMSkills
- Strong time management and organizational skills
- Excellent communication skills
- Ability to work under pressure
- Data Analysis
- Motivated to continue learning
- Self-Directed
- Microsoft office
- Research
- Pharmacy Technician certified
- Teamwork and collaboration
Workshops Completed
- Inventory Management
- Compounding
- Drug Classifications
- HIPAA
- Pharmacy Law and Ethics
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Pharmacy Escalation Team
Blue Cross NM
08.2023 - Current
Pharmacy Operations Technician
Blue Cross NM
04.2020 - 09.2023
Pharmacy Benefit Technician
Presbyterian Healthcare Services
06.2019 - 03.2020
CLINICAL REVIEW TECHNICIAN
PRIME THERAPUETICS LLC
01.2017 - 05.2019
Senior Procurement Specialist
Prime Therapeutics, LLC
11.2007 - 12.2017
INVENTORY CYCLE COUNTER
PRIME THERAPUETICS LLC
03.2007 - 11.2007
INVENTORY SPECIALIST
EXPRESS SCRIPTS, INC.
08.2000 - 02.2007
High School Diploma -
Moriarty
UNDERGRADUATE STUDIES -
UNIVERSITY OF NEW MEXICO
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