Anthony Catchings
Summary
Diversity in healthcare background from Information Technology Business Analysis to pharmacy operations from retail, specialty pharmacy, pharmacy benefit management, and clinical education/experience. Excellent at juggling multiple tasks and working to complete businesses deadlines. Consistent track record of implementing new ideas for the cultivation of business processes that improves health industries metrics and other business operations.
Overview
4
4
years of professional experience
Work History
IT Business Analyst
HCSC - Blue Cross Blue Shield Of Illinois
06.2022 - Current
- Analyzed key aspects of HCSC business clients request to evaluate factors driving results, summarizing into presentations.
- Applied problem-solving skills to analyze Client Commitment request and resolve issues impacting business operations and goal achievement.
- Help Market Portfolio bring funding percentage under 100%.
- Manage deliverable dates to ensure project deadlines are met.
- Attend meetings with stakeholders to establish favorable business relationships and support mutually beneficial interests.
- Assess impacted IT participants for client resolutions.
- Manage 5 project scopes to ensure consistency throughout project lifecycles.
- Write/Established Epics for business request using Jira applications.
- Communicate with IT partners to ensure business alignment is maintained.
- Assist in Intake business review to determine estimation for required funding.
Party Pharmacy Operation Specialist
Walgreens Global Corporate
06.2021 - Current
- Update maintenance, auditing, and operation of third party prescription plan contracts, including entering plans into system and investigating all missing information
- Resolving problems/questions regarding third party prescription plans from stores, claims processors, and other applicable parties
- Identifies and recommends best practices solutions to recurring issues
- Enters plan specifications into appropriate systems, ensuring compliance with plan provisions, corporate guidelines, and Federal, state, and/or local regulations
- Develops and test data for each new plan and conducts on-line tests to ensure appropriate claims processing and reimbursement
- Identifies and implements corrective actions for test results that are not compliant with plan specifications
- Collaborates with third party payor and appropriate Walgreens team members to ensure operational performance and compliance with responsible third party contractor
- Analyzes and recommends corrective actions to systems discrepancies, prescription and reimbursement data, vendor changes, claims processors.
- Assists other Walgreens departments with audits, both fiscal and operational, to ensure all appropriate data is made available to accurately complete internal and external plan audits
- Coordinate access to internal corporate applications
Drug Loss Lead Coordinator
Cvs Corporation
06.2020 - 02.2021
- Medicare Insurance Part A, B, D and major medical buy and bill
- Benefits, and reports for patient copay assistance programs/Correlation of Benefits
- Able to perform in high-paced, team-oriented environment
- Ensure CVS Stores are compliant with control drug losses
- Instruct District Managers on drug loss investigations
- Ensure district managers have access to records
- Enter Drug loss reports from retail stores
- Analytical and problem-solving skills, and audits
- Ensure retail pharmacy staff is educated on drug loss initiations
- Ensure Omnicare/Ekit losses are submitted within regulations timelines
- Board of pharmacy portal reporting/ DEA reporting.
Lead Pharmacy Reconciliatory
NorthShore University Hospital, Hospital, Reconciliation
Glenbrook, IL
11.2018 - 06.2020
- Reviewed and verified patient information upon arrival
- Achieve pharmacy business objectives by increasing number of pharmacy reconciliations in
- ER/Hospital
- Translated pharmacy communications for multilingual speaking customers nationwide
- Monitor nurse medication reconciliation reviews
- Reviewing patients medication for contraindicated medications, duplicate therapy medication
- Clients Medicare Claims/ Commercial
- Assist Hospitalist on external medication research for patient, to ensure accuracy upon check in into hospital
- Communicate with hospitalist on medication updates, work closely with pharmacist to ensure upon discharge patient medications are updated.
Education
Bachelors of Science - General Technical Specialty, Technical Management
DeVry University
Addison, IL06.2022
Associate of Science -
College of Dupage
Lisle, IL08.2016
Skills
- Portfolio Asset Management System
- Business Process Mapping
- Project life cycle management
- Strong Communication
- Pharmacy/Business Implementation
- Organization
- Data and Analytics
- Complex Problem-Solving
- Presenter for Business Operations
- Project Scope Management
- Client Commitment satisfaction
- Jira Functionality
- Microsoft Access/Powerpoint/Word/Excel
- Team Oriented
- Data analysis/Trending analysis
- Epic Business Writing
Timeline
IT Business Analyst
HCSC - Blue Cross Blue Shield Of Illinois
06.2022 - Current
Party Pharmacy Operation Specialist
Walgreens Global Corporate
06.2021 - Current
Drug Loss Lead Coordinator
Cvs Corporation
06.2020 - 02.2021
Lead Pharmacy Reconciliatory
NorthShore University Hospital, Hospital, Reconciliation
11.2018 - 06.2020
Bachelors of Science - General Technical Specialty, Technical Management
DeVry University
Associate of Science -
College of Dupage
Similar Profiles
Rena CarterRena Carter
Customer Advocate Group Inquiry Services at HCSC - Blue Cross Blue Shield of IllinoisCustomer Advocate Group Inquiry Services at HCSC - Blue Cross Blue Shield of Illinois
Michael CrowleyMichael Crowley
Senior Manager, Security Platform Ops at HCSC - Blue Cross Blue Shield Of IllinoisSenior Manager, Security Platform Ops at HCSC - Blue Cross Blue Shield Of Illinois
ALLOYSIUS ODOGBOALLOYSIUS ODOGBO
System Analyst at HCSC - Blue Cross Blue Shield Of IllinoisSystem Analyst at HCSC - Blue Cross Blue Shield Of Illinois