Summary
Overview
Work History
Education
Skills
Timeline
Generic

Anadelia Damasco

Redding

Summary

PHC Pharmacy Services Education Specialist. More than 6 years working at PHC, combined total over 7 years as worked 2015-2016, developing skills not only as a Trainer, Pharmacy Technician, Health Care Guide, Wellness Guide and Administrative Assistant, but also as a fellow PHC Team Member. Proficient in auditing processes for NCQA Accreditation, DHCS requirements and ensuring we meet our PHC mission to help our members and the communities we serve be healthy. Providing non- clinical case management needs for PHC population. Able to navigate Essette system, data enter HelpDesk Referrals for Care Coordination and File Retrieval from Healthcare Repositories, provide long standing case management to member with multitude of needs. ACD line calls including multitude of transportation calls for NEMT and NMT. Ability to triage case management and transportation calls and needs. Ability to multitasks between many roles in current position correctly, efficiently, highly organized and timely. Ability to utilize a multitude of Microsoft products including Excel, Word, Teams and Adobe. Extremely adept and proficient in creating Desktop Procedures, train internal staff and external Providers. Maintain PHC internal Webpages such as SharePoint. Scheduling, Outlook, Excel, and Project Management experience. Reporting experience such as Call Volume, TAR Volume, Member Data, Timeliness Reports, and Pharmacy Termination/Drug recall Mail Merges. Created standardized Training Trackers and Technician Education trackers to track and trend needed training or refresher opportunities for individual and all staff. Create trainings, desktop procedures and PowerPoint presentations to for all staff as well as other departments to use for training purposes in new and established processes. Propose and implement change in department to make work and processes more streamlined, standardized and efficient. Tasked with answering NR UM calls after outage, created Desktop for answering UM calls, researching CPT codes in Amisys, and trained other staff in assisting in the task of handling UM calls. Previous experience as Population Health Wellness guide . Project work such as Department yearly goals and PHC representative for RX department on PHC EE Goals 2020. Support all staff with inquires for process performance. Working on Bachelor Degree in Health information management with planned graduation 2024. Excellent verbal, written and oral skills. Practice honest, direct and respectful communication in all avenues, electronic, verbal and written. Able to follow procedure and protocols for all task performed to the highest degree of efficiency and correctness. Pharmacy Technician with 22 years of retail pharmacy experience. Self-starter with extensive knowledge of Medicaid and Medicare billing, procedures and law, inventory control, staff training and entering and filling prescriptions. Ability to deescalate upset patients, turn the situation into a positive, with the utmost patient satisfaction. Nationally PTCB Certified, California Board of Pharmacy Technician Licensed (CPhT).

Overview

22
22
years of professional experience

Work History

Pharmacy Services Education Specialist/AA Support

Partnership HealthPlan Of California
01.2017 - Current
  • Create and update Desktop procedures for the Pharmacy Department
  • Implement new trainings and refresher trainings for all staff, and one on one trainings.
  • New hire onboarding
  • Assess staff performance and make recommendations for PIP/CAP or needed actions for leadership.
  • Create trainings, PowerPoint presentations for all staff trainings, as well as other departments, to use for training aides in new and established processes.
  • Propose and implement change in the pharmacy department to make work and processes more streamlined, standardized and efficient
  • Created standardized Training Trackers, and Technician Education trackers, to track and trend needed training or refresher opportunities for individual and all staff.
  • Processes Treatment Authorization requests for PHC including applying applicable criteria to make determinations of TAR outcomes in a timely and correct manner
  • Data entry skills
  • 2020/2021/2022 Task force representative
  • Member of PHC Team Goal #7 for mentorship and job shadow programs
  • Support role of AA duties in interim due to open position in pharmacy department
  • Quickly and efficiently, perform my duties with minimal error
  • Participates in other department campaigns as needed
  • Willing to work overtime and flexibility with schedule
  • Ability to interpret clinical documentation, labs, chart notes and disseminate pertinent information as needed
  • Handle provider and member phone calls and inquires with professionalism, courtesy and efficiency
  • Ability to answer questions from other departments, willing to go above and beyond to help resolve issues for our members
  • Ability to utilize multiple platforms and functions simultaneously
  • Discretion with handling sensitive data and PHI
  • Participated in multiple call campaigns involving PHC members, providing information and resources to aid in their needs
  • Ability to make referral to Care Coordination, Member services, RAC, as necessary, in correct and time appropriate fashion
  • Ability to work with multi-disciplinary coworkers and facilitate relationships between departments, members and providers
  • Manage calendars and meetings for leadership and other staff
  • Create projects and run reports on behalf of Management.

Health Care Guide

Partnership HealthPlan of California
05.2022 - 01.2023
  • I –Care Coordination
  • Acts as the point of contact for members, families, providers, and/or community agencies calling into the Care Coordination Department requesting assistance and information about available PHC programs and information
  • Collaborates with members, families and community agencies identifying member’s needs or barriers to accessing PHC benefits and healthcare
  • Utilizes targeted assessments to assess member’s case management needs
  • Initiates and processes referral to appropriate programs
  • Documents case notes in Essette per department standards and in SBAR format
  • Completes individualized care plans for members and their unique needs
  • Obtains records and information from healthcare providers
  • Heavy use of telephonic communication with members and providers.

Wellness Guide

09.2020 - 03.2021
  • Perform member outreach calls for various call campaigns for Population Health department
  • Use of Essette and Call Center to document call outcomes
  • Refer members to programs through PHC or outside entities
  • Perform referrals internally for members needing case management through Care Coordination Department or other PHC Services.

Senior Certified Pharmacy Technician

Walgreens Pharmacy
01.2001 - Current
  • Entered new patient profiles and prescriptions into medication input software system
  • Communicated directly with doctors' offices via telephone, fax and email
  • Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors and pharmacists
  • Provided friendly customer service at prescription drop-off and pick-up counters, and telephone calls
  • Worked closely with pharmacists and used medication input software to safely and accurately dispense medication
  • Maintained drug inventory levels by ordering necessary medications and supplies and verifying deliveries against purchase orders
  • Precisely processed third party prescriptions and managed adjudication review
  • Regularly ordered medication and pharmacy, office and restroom supplies
  • Resolved billing errors on behalf of patients and their prescription benefits
  • Trained and certified in compounding via Walgreens Certification
  • PTCB certified
  • Ca board of Pharmacy Licensed
  • Responsible for training and supervising other pharmacy staff including scheduling and discipline.

Education

Bachelor of Science - Health Information Management

Western Governors University
Salt Lake City, UT
06.2024

Pharmacy Tech License-Current -

California Board of Pharmacy
California

PTCB Certification National Certification- Current -

California Board of Pharmacy

NA - General Education

Shasta College

High School Diploma - undefined

Enterprise Highs School
1999

Skills

  • Multiplatform experience with PHC interfaces, including Essette, PARx I and II, M2, Esker, CUIC, Amisys Advanced, CMS Pedi, Call Center, C2, Collective Medical, ULG Translation Services, UAT and QA
  • Experience with case management of variety of populations and case types
  • Case conference with other staff for pharmacy and UM related questions
  • Able to deescalate upset Member calls
  • Experience in creating Desktop Procedures, PowerPoint presentations and executing the training of other staff as well providing education where needed
  • Perform all Inter-raters on department staff
  • Perform NOA Audits for NCQA requirements
  • Ability to participate in interdepartmental projects including TLC4C19, QI Birthday Club Calls and IMZ-HCV calls
  • Ability to interpret, summarize and disseminate pertinent clinical information as it regards to member and their needs
  • Interpret and apply PHC criteria for TAR requests
  • Multitasking ability
  • Expert understanding of Medicare and Medicaid processes
  • Strong background in FDA drug safety guidelines
  • Exceptional patient care and Interaction
  • HIPAA trained
  • Abbreviations comprehension
  • Pharmaceutical distribution familiarity
  • Expert in data entry and execution
  • Medical Terminology, Foundations in Healthcare Data Management, Professional Leadership and Communication for Healthcare, Healthcare Ecosystems, Foundations in Healthcare Information Management, and Organizational Behavior are courses passed amongst others for BS in Health Information Management degree
  • Ability to deescalate upset provider and member ,calls providing excellent service on behalf of PHC

Timeline

Health Care Guide

Partnership HealthPlan of California
05.2022 - 01.2023

Wellness Guide

09.2020 - 03.2021

Pharmacy Services Education Specialist/AA Support

Partnership HealthPlan Of California
01.2017 - Current

Senior Certified Pharmacy Technician

Walgreens Pharmacy
01.2001 - Current

Bachelor of Science - Health Information Management

Western Governors University

Pharmacy Tech License-Current -

California Board of Pharmacy

PTCB Certification National Certification- Current -

California Board of Pharmacy

NA - General Education

Shasta College

High School Diploma - undefined

Enterprise Highs School
Anadelia Damasco