Amineh Vavi
McKinney,TX
Summary
Experienced Senior/Lead Technician with 14 years in Pharmacy Benefit Management, specializing in Specialty Pharmacy Prior Authorization. Skilled in team leadership, workflow optimization, and ensuring compliance while enhancing patient care and operational efficiency.
Overview
14
14
years of professional experience
Work History
Quality Specialist
CVS/Caremark Prior Authorization and Appeal
11.2024 - Current
- Managed a team of quality technicians, providing coaching and guidance for professional development and improved performance.
- Developed comprehensive quality control documentation, standardizing procedures in PA ans appeal department and promoting consistency.
- Reduced customer complaints by streamlining the complaint resolution process and addressing root causes of issues.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or errors.
- Analyze trends and discrepancies in reports to identify areas for improvement and implement corrective actions.
- Conduct regular audits of prior authorization and
appeal reports to ensure compliance with regulatory standards and internal
policies.
Sr Technician Prior Authorization
CVS Caremark Specialty PA Department
07.2021 - 10.2024
- Self-motivated, with a strong sense of personal responsibility.
- Excellent communication skills, both verbal and written.
- Skilled at working independently and collaboratively in a team environment.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Manage complex prior authorization requests, assess clinical information, and collaborate with healthcare providers to obtain necessary approvals.
- Proved successful working within tight deadlines and a fast-paced environment.
- Identify areas for improvement in the prior authorization
workflow and implement strategies to enhance efficiency and service delivery. - Liaise with team members and departments to communicate findings, promote best practices, and support continuous improvement initiatives.
- Provide staff with training and guidance on quality standards and protocols to enhance overall performance.
Prior Authorization Pharmacy Technician
CVS Caremark Specialty Pharmacy
10.2016 - 06.2021
- Work closely with pharmacists, physicians, and insurance companies to facilitate communication and expedite the
authorization process. - Alleviated staff workload pressures by proactively taking on additional responsibilities as needed within PA department.
- Contributed to a positive work environment through effective communication, collaboration, and problem-solving efforts.
- Excellent knowledge of specialty pharmacy operations and prior authorization protocols.
- Proficient in pharmacy management systems and electronic health records.
- Improved patient outcomes by accurately processing prior authorization requests and collaborating with healthcare providers.
Prior Authorization and Appeal Technician
United Healthcare Group
10.2011 - 01.2013
- Work closely with pharmacists, physicians,
and insurance companies to facilitate communication and expedite the authorization process. - Managed time efficiently in order to complete all tasks within deadlines.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Education
Bachelor of Science - Biological Sciences
Arizona State University
Tempe, AZ12-2026
Pharmacy Technician -
Everest College
Everett, WA09-2009
Skills
- Customer satisfaction
- Documentation control
- Process capability analysis
- Product inspection
- AS 400, Salesforce, CAS, Excel, Microsoft words, SharePoint, Tableau, Teams
- Project management
- Process improvement
- Quality management systems
Languages
English
Farsi
Turkish
Kurdish
Timeline
Quality Specialist
CVS/Caremark Prior Authorization and Appeal
11.2024 - Current
Sr Technician Prior Authorization
CVS Caremark Specialty PA Department
07.2021 - 10.2024
Prior Authorization Pharmacy Technician
CVS Caremark Specialty Pharmacy
10.2016 - 06.2021
Prior Authorization and Appeal Technician
United Healthcare Group
10.2011 - 01.2013
Bachelor of Science - Biological Sciences
Arizona State University
Pharmacy Technician -
Everest College
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