Ashley Colyer
Erie,CO
Summary
Enthusiastic, driven, and patient service-oriented pharmacist and credentialer with over eleven years of experience, now looking for a new challenge. Seeking to leverage my passion for healthcare, compliance, and professionalism in a dynamic fashion.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Credentialing Specialist
Boulder Valley Independent Practice Association
Boulder, CO
01.2023 - Current
- Reviewing and processing credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards
- Validating primary source documents such as licenses, diplomas, certifications and other related credentials
- Maintaining detailed records of provider data in the credentialing database system
- Performing initial review for new providers to determine eligibility for enrollment into the network
- Conducting background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB
- Participating in periodic audits of credentialing files to maintain compliance with applicable regulations and policies
- Interacting regularly with representatives from health plans and commercial payers regarding credentialing matters.
- Completing enrollments into Medicaid, Medicare and private insurance plans.
- Processeing documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Staff Pharmacist
Main Street Pharmacy
Danbury, Connecticut
02.2021 - 09.2022
- Performed all aspects of pharmacy operations, ensuring continuous delivery of quality products and services in alignment with physician orders and prescriptions
- Assisted pharmacy manager and technicians with establishment of over 50 new patients requiring pre-packaged medications, including transfers and physician requests
- Assisted in training pharmacy technicians on prescription processing, inventory management and customer service skills.
- Reviewed medication profiles for duplication of therapy, drug interactions, and dosing changes for pre-packaged medications
- Interacted with patient care/home health/facility nurses to ensure optimized care
- Completed daily ordering from vendors and wholesalers
- Administered, ordered, and reported COVID-19 vaccinations
- Conducted off-site flu and COVID-19 vaccination clinics
- Ordered and reported dispensing of COVID-19 antivirals
- Collaborated with organizers of a clinical trial to screen and refer potential patients.
Staff Pharmacist
Trumbull Pharmacy
Trumbull, Connecticut
08.2018 - 01.2021
- Identified significant drug allergies and potential interactions by assessing patient profiles
- Advised patients on potential drug interactions and side effects
- Oversaw drug preparation and distribution activities to provide safe, efficient care for patients
- Communicated daily with physicians, nurses, and medical assistants to improve patient outcomes
- Ensured compliance with strict health, industry, and organizational regulations.
Staff Pharmacist
CVS Health
Westport, Connecticut
08.2017 - 03.2018
- Supported pharmacy manager to achieve service and inventory goals
- Acted as pharmacy manager when manager was not present or unavailable
- Supervised training of staff via in-store training and educational modules.
Pharmacy Manager
CVS Health
Tucson, Arizona
12.2012 - 08.2017
- Lead pharmacy team to achieve highest customer service score in district
- Opened two new pharmacies for CVS Health as manager
- Hired and supervised team of pharmacy technicians, interns and support staff
- Created and implemented policies and procedures for effective pharmacy management.
Staff Pharmacist
CVS Health
Tucson, Arizona
08.2011 - 12.2012
- Lead and performed all aspects of pharmacy operations, ensuring continuous delivery of quality products and services in alignment with physician orders and prescriptions.
Pharmacy Intern
Osco Pharmacy
Laramie, Wyoming
04.2009 - 04.2011
- Trained as a student under a pharmacist to learn the basics of working in a retail pharmacy setting.
Education
Doctor of Pharmacy in Pharmacy -
University of Wyoming
05.2011
Skills
- Experienced with RxConnect, PioneerRx, BestRX pharmacy software
- Familiarity with Microsoft Word, Excel, PowerPoint, GSuite
- 90 WPM
- Inventory management
- Insurance billing
- Insurance enrollment
- Medicare, Medicaid and payer compliance
- Experienced in Audits
- NCQA and CMS Regulations
- Staff development
- Complaint/conflict resolution
- Adaptability to business needs
Certification
- Registered Pharmacist-Colorado State Board of Pharmacy
- Registered Pharmacist-Connecticut Commission of Pharmacy
- Registered Pharmacist-Arizona State Board of Pharmacy
- Immunizing Pharmacist License-Arizona State Board of Pharmacy
- American Heart Association CPR Certification
Awards
- MyCustomer Experience Excellence (CVS Health): 2013, 2014, 2015, 2017
- Most Flu Shots Over Target (CVS Health): 2015
- Academy of Student Pharmacists Senior Recognition Award: May 2011
- McKesson Leadership Award: May 2010
- Academy of Student Pharmacists Service Award: May 2010
References
- Robin Massa, Pharmacy Manager, Main Street Pharmacy, (203) 297-6130, (203) 858-7059
- Charul Bhatt, Pharmacy Owner, Trumbull Pharmacy, (203) 718-6337, (315) 542-4428
- Holly Paddock, District Leader, CVS Health, (520) 268-3836, (520) 954-1590
Timeline
Credentialing Specialist
Boulder Valley Independent Practice Association
01.2023 - Current
Staff Pharmacist
Main Street Pharmacy
02.2021 - 09.2022
Staff Pharmacist
Trumbull Pharmacy
08.2018 - 01.2021
Staff Pharmacist
CVS Health
08.2017 - 03.2018
Pharmacy Manager
CVS Health
12.2012 - 08.2017
Staff Pharmacist
CVS Health
08.2011 - 12.2012
Pharmacy Intern
Osco Pharmacy
04.2009 - 04.2011
Doctor of Pharmacy in Pharmacy -
University of Wyoming
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