Andrian Harley-Harris
Jacksonville ,FL
Summary
Directed customer service initiatives leveraging over 19 years of clerical and customer service expertise. Led teams in both collaborative and independent settings to achieve operational objectives. Oversaw management of web and mobile product portfolios within regulated environments. Cultivated high-performing teams through strategic leadership and development. Championed analytical, strategic thinking, organizational, relationship-building, and communication skills. Navigated regulatory requirements for pharmacy and healthcare digital platforms. Collaborated with agile development teams and tools to enhance project outcomes. Managed functions in accounting, finance, and data analysis to drive efficiency.
Overview
17
17
years of professional experience
Work History
Pharmacy Reporting Analyst
CareFirst BCBS
01.2025 - Current
- Analyzed clinical parameters to establish comprehensive prior authorization rules within SmartPA for medical and pharmacy applications.
- Oversaw claims analysis and managed appeals and grievances reviews to support effective reporting processes.
- Coordinated cross-functional collaboration to optimize processes and uphold compliance with health policies and managed care corrections.
- Managed comprehensive data reporting and health education efforts within benefits and claims resolution operations.
- Analyzed and simplified intricate healthcare processes to facilitate effective management and service delivery.
- Compiled and presented comprehensive information on newly implemented drugs to enhance understanding and compliance.
- Achieved timely project delivery by optimizing organizational processes and enhancing interdepartmental collaboration. Drove successful outcomes through effective prioritization and teamwork across multiple departments.
- Analyzed and verified multiple types of datasets from medical vendors and PBMs to support accurate financial and clinical modeling initiatives.
- Developed and maintained SQL scripts for data management and reporting purposes.
- Analyzed and integrated diverse data sets through consolidation and modeling to improve reporting efficiency.
- Achieved timely preparation of audit documentation by adhering to audit instructions, contributing to successful audit outcomes. Crafted detailed written responses and documentation for pharmacy audits, enhancing overall compliance efforts.
- Collaborated with cross-functional teams to optimize workflows related to medical claims and pharmacy benefits.
- Managed travel itineraries, optimizing routes and accommodations to enhance overall efficiency.
- Analyzed and upgraded report systems to ensure consistent functionality and improved performance.
- Spearheaded efforts to refine and enhance quality processes, ensuring continuous improvement.
- Analyzed and documented requirements, producing training materials that support employee development and operational efficiency.
- Analyzed existing quality metrics and developed action plans to elevate product quality.
- Managed vendor relationships and negotiated contracts for pharmaceutical purchasing to enhance operational efficiency.
- Synthesized and interpreted complex data sets to support data-driven initiatives and enhance organizational performance.
- Analyzed features and benefits of national drug and data provider products to support informed decision-making.
- Evaluated and tracked compliance with 304b program regulations, ensuring alignment among qualified patients, drug providers, and vendors.
- Analyzed and interpreted Medicaid formulary guidelines to support effective medication management and patient care initiatives.
- Monitored and adjusted to fluctuations in plan PBM drug lists, assessing impacts on formulary tiers and clinical effectiveness.
- Developed and maintained financial models while utilizing CRM systems to streamline operations and support strategic initiatives.
- Administered healthcare experience initiatives to improve patient satisfaction and service quality.
Pharmacy Technician
Walgreens
09.2023 - Current
- Facilitated pharmacy operations by supporting pharmacist in compliance with state, federal, and company policies. Promoted adherence to Walgreens Co. pharmacy code of conduct, enhancing operational integrity.
- Achieved accurate patient and drug information entry through effective use of pharmacy systems. Streamlined prescription filling process by efficiently retrieving, counting, and pouring medications. Enhanced medication safety by verifying accuracy and identifying potential interactions. Contributed to improved workflow by assisting pharmacists with scheduling tasks.
- Monitored prescription accuracy and communicated errors to pharmacists, adhering to established protocols for quality assurance in pharmacy operations.
- Executed prescription dispensing activities in full alignment with Walgreens Co. policy on good faith dispensing to promote ethical practices.
- Achieved efficient sales registration on assigned cash register, contributing to smooth transaction flow. Optimized cash handling procedures to maintain financial integrity. Enhanced customer satisfaction by effectively directing shoppers to OTC aisle for product assistance.
- Processed and redirected non-urgent calls, maintaining seamless communication with physicians and optimizing pharmacist availability.
- Performed clerical duties as assigned by pharmacy manager while ensuring prompt handling of manual claims for third-party programs.
- Oversaw inventory management and order processing for mail-order transactions, ensuring efficient service delivery.
Pharmacist Consultant III
Conduent/Department of Labor
Tallahassee, FL
02.2011 - 12.2024
- Coordinated efforts with staff to enhance delivery of pharmaceutical services.
- Facilitated the creation and evaluation of pharmaceutical services protocols to enhance operational efficiency.
- Identified and addressed pharmacy-related issues to enhance patient care quality and ensure adherence to regulatory standards.
- Conducted thorough clinical reviews to ensure adherence to regulatory standards.
- Facilitated travel pharmacy and adjustment claims processing to maintain operational efficiency.
- Leveraged customer relationships to foster organic growth and attract new business ventures.
- Conducted executive reviews and customer meetings to address client needs and expectations.
- Coordinated efforts with account management, sales operations, and relevant corporate teams to align with overall business goals.
- Performed comprehensive audits and assessments aimed at identifying areas for operational improvement and establishing new procedures.
- Directed a cross-functional client team to enhance collaboration and project outcomes.
Insurance/Healthcare Representative I
HP Hewlett Packard
Tallahassee, FL
08.2009 - 01.2011
- Managed various clerical responsibilities to maintain high standards of data accuracy and integrity.
- Reviewed customer call interactions and leveraged findings to streamline operational workflows and improve customer experience.
- Achieved optimization of Medicaid claims processing by conducting comprehensive data field analysis. Enhanced information interpretation through the implementation of established protocols. Drove significant improvements in compliance with Medicaid regulations across the organization.
- Achieved improved service standards through effective monitoring of telephone interactions. Delivered actionable recommendations based on in-depth data analysis and thorough documentation review. Enhanced quality assurance initiatives through comprehensive audit processes.
- Utilized multiple office devices to ensure precision in Medicaid claims processing operations.
- Achieved enhanced administrative efficiency by streamlining clerical task management. Delivered impactful office organization initiatives through implementation of best practice methodologies.
- Managed data entry responsibilities with attention to detail, ensuring alignment with operational goals.
- Achieved enhanced operational efficiency through effective management of data entry processes. Maintained high standards of data integrity and accuracy by conducting thorough reviews of source materials.
Education
Master Degree - undefined
University of Florida
01.2026
Bachelor of Business Administration - undefined
American InterContinental University
06.2015
High School Diploma - undefined
James S. Rickards High School
05.2006
Skills
- Leveraged Microsoft Office Suite to enhance documentation and reporting efficiency
- Utilized advanced Excel functions, including VLOOKUPs and pivot tables, to optimize data analysis processes
- Leveraged strong verbal communication skills to foster collaboration and enhance understanding among team members
- Assisted teams in completing project phases to align with strategic goals Supported a collaborative atmosphere to boost team productivity and engagement Provided mentorship and guidance to foster team development
- Cultivated strong interpersonal relationships to strengthen team dynamics and drive project success
- Conducted comprehensive research to identify operational challenges and formulated strategic solutions
- Executed comprehensive reviews to ensure accuracy and reliability of information
- Implemented prioritization strategies to enhance task management and optimize workflow efficiency
- Demonstrated proactive self-direction to optimize productivity and performance
- Guaranteed accuracy and precision in work processes to uphold high-quality standards
- Demonstrated resilience and determination to navigate challenges and propel progress
- Utilized analytical skills to diagnose root causes and implement effective solutions
- Streamlined workflows and enhanced team efficiency through resourceful problem-solving
- Supported team members in developing professionalism and strong work ethics Assisted in implementing initiatives that encouraged accountability and integrity in work processes Promoted collaboration to improve team productivity and morale
- Cultivated customer service expertise to enhance client interactions and address inquiries effectively
- Facilitated team collaboration through active listening to appreciate diverse perspectives
- Oversaw database management to enhance data retrieval efficiency and ensure secure storage solutions
- Cultivated a comprehensive suite of transferable skills to improve adaptability and effectiveness across various roles
- Developed and honed leadership skills to enhance collaboration and elevate team performance
Timeline
Pharmacy Reporting Analyst
CareFirst BCBS
01.2025 - Current
Pharmacy Technician
Walgreens
09.2023 - Current
Pharmacist Consultant III
Conduent/Department of Labor
02.2011 - 12.2024
Insurance/Healthcare Representative I
HP Hewlett Packard
08.2009 - 01.2011
Master Degree - undefined
University of Florida
Bachelor of Business Administration - undefined
American InterContinental University
High School Diploma - undefined
James S. Rickards High School