Pharmacy professional with comprehensive background in medication management and patient care. Versatile in adapting to evolving healthcare environments, consistently achieving positive patient outcomes through collaboration and expertise. Trusted team player with focus on precision and reliability in pharmaceutical services.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Pharmacy Services Specialist/Fire Fighter
Blue Cross Blue Shield of North Carolina
Durham, NC
03.2024 - Current
Input all patient data regarding claims and prior authorizations into system accurately.
Evaluated criteria for possible approval or denial of services requiring pre-authorization.
Participated in cross-functional initiatives to improve overall efficiency and effectiveness of the prior authorization process for all involved parties.
Maintained up-to-date knowledge of changing healthcare regulations and our policies to ensure accurate processing of requests.
Improved patient satisfaction with timely and accurate processing and data entry of prior authorizations request for medications.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Subject matter expert on both lines of business (RX and Medical) and the ability to work complex cases in real time.
Proficient in making calls to other Blue Cross entities and to providers to problem solve in a timely manner.
Ability to multi task, identify problems, and defuse any escalations while still meeting production goals.
Successfully managed high-pressure situations during peak hours by prioritizing tasks effectively while maintaining attention-to-detail in a fast-paced environment.
Assisted and provided feedback for new note tool.
Volunteered to help Medicare department with short term DMR project.
Pharmacy Scheduling Administrator
Walgreens
Jacksonville, FL
01.2018 - 03.2024
Dedicated and reliable professional with strong work ethic and proven performance in leadership and communication
Detail-oriented in problem solving and planning
Excellent customer service and experience in retail, time management, and computer skills.
Gathered, organized and input information into digital database.
Evaluated staff performance and provided coaching to address inefficiencies.
Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
Managed human resources functions, including hiring, onboarding, and employee evaluations for optimal team performance.
Payroll management for all pharmacists in my region
Assist the area healthcare supervisor with calendar updates, scheduling interviews and onboarding new hires
Notify the FL Board of Pharmacy with any pharmacy management changes
Assemble reports using PowerPoint, Excel, or Word for Team meetings
Assist in recruiting efforts for the area, setting up career fair/luncheons/dinner.
Sr Pharmacy Technician
Walgreens
Jacksonville, FL
01.2008 - 01.2018
Trained and mentored junior pharmacy technicians on operational procedures and customer service best practices.
Oversaw medication dispensing processes, ensuring accuracy and compliance with safety regulations.
Implemented workflow improvements, enhancing efficiency in prescription processing and inventory management.
Managed pharmaceutical inventory, conducting regular audits to maintain stock levels and reduce waste.
Expedited prescription fulfillment through proficient use of pharmacy software systems, resulting in reduced wait times for customers.
Facilitated seamless communication between patients, healthcare providers, and insurance companies to expedite prescription processing.
Enhanced customer satisfaction with prompt and courteous service while addressing their prescription needs.
Optimized workflow processes by collaborating with team members on task prioritization and assignment delegation.
Maintained a clean and organized pharmacy environment, ensuring compliance with state regulations and safety standards.