Amanda Voorhees
Palm City,FL
Summary
Versatile Sr. Manager with a proven track record in leading successful pharmacy audit teams and enhancing operational efficiency. Expert in strategic planning and cross-functional collaboration, significantly improving audit outcomes and FWA identification. Skilled in operations management and team coordination to achieve optimal claims audit performance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Sr. Manager, Pharmacy Audit
Optum Rx
2022.02 - Current
- Lead a dynamic team of Investigators, Sr. Investigators and an Investigations Consultant to identify and address instances of FWA
- Ensuring audit plan adherence across key clients
- Provide strong leadership to enhance team productivity and morale.
- Collaborate closely with peers from other departments, such as network compliance and pharmacy programs and legal, to drive organizational success jointly in relation to FWA matters.
- Achieve operational excellence by streamlining processes and implementing best practices.
- Conduct performance evaluations, compensations and hiring to maintain appropriate staffing requirements.
- Responsible for organizing and overseeing assignments to drive key metrics and recoveries
- Implement policies and procedures and best practices to identify current FWA trends
Manager Pharmacy Audit
Elixir (Formerly EnvisionRx)
2014.01 - 2022.02
- Responsible for audit cycle performance and return on investment for clients
- Strategic analysis and planning to ensure quarterly and annual audit results
- Leadership and development of audit team comprised of five direct reports
- Accomplished multiple tasks within established timeframes
- Client and pharmacy consultation and communication
- Vendor oversight
- Support for Special Investigations Unit
- Maintain compliance with federal and state regulations
Education
Bachelor of Science - Health Administration
Florida Atlantic University
Boca Raton, FL05.2011
Skills
- Strategic Planning
- Cross-Functional Collaboration
- Operations Management
- Cross-functional Team Coordination
- Multiple Adjudication Platform experience
- Data Analytics
Certification
Registered Pharmacy Technician, State of Florida
est. May 12, 2010 - current
Timeline
Sr. Manager, Pharmacy Audit
Optum Rx
2022.02 - Current
Manager Pharmacy Audit
Elixir (Formerly EnvisionRx)
2014.01 - 2022.02
Bachelor of Science - Health Administration
Florida Atlantic University
Registered Pharmacy Technician, State of Florida
est. May 12, 2010 - current
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