Autumn Snyder

• Collaborated with cross-functional teams to identify opportunities for process optimization, cost savings, and customer satisfaction.
• Identified root causes of operational issues and proposed solutions to improve productivity.
• Provided guidance on best practices for change management initiatives within the organization.
• Performed regular audits of business processes to ensure compliance with industry standards.
• Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
• Demonstrated leadership by making improvements to work processes and helping to train others.
• Planned and completed group projects, working smoothly with others.
• Maintained updated knowledge through continuing education and advanced training.
• Ensured compliance with all relevant regulations, laws, and standards.
• Monitored and addressed health plan, provider, and pharmacy complaints to identify trends and underlying problems, then proposed solutions to prevent future escalations.

• Leveraged extensive expertise in pharmacy benefits management as the subject matter expert overseeing high-value drug spending for a health plan. Used advanced knowledge of formulary management and utilization techniques to optimize product use and minimize expenditures.
• Applied in-depth understanding of the pharmacy benefit landscape as the key liaison between the PDAC Committee and contracted pharmacies. Used specialized knowledge to evaluate requests, develop recommendations, execute overrides, and ensure timely access.
• Demonstrated comprehensive knowledge of pharmacy operations by spearheading various initiatives including audits, training, and database management. Served as the subject matter expert for continuous enhancement of pharmacy services.
• Managed multiple priorities and deadlines simultaneously by leveraging expertise across all areas of pharmacy benefits. Maintained quality, efficiency and productivity goals through specialized understanding of procedures and compliance.
• Utilized extensive background as the resident subject matter expert to train and develop team members across all lines of business, including Medicare, Medicaid and Exchange. Conveyed in-depth knowledge to elevate staff proficiency.
• Applied expertise as a Pharmacy Technician to provide excellent customer service. Resolved inquiries and processed orders using specialized knowledge and skills. Subject matter expert for all aspects of pharmacy order review and claim fulfillment.

• Leveraged comprehensive knowledge of pharmacy benefits to review and resolve prescription requests from providers and pharmacies. Served as subject matter expert on non-formulary medications, prior authorizations, quantity/cost limits, and online claim processing assistance.
• Demonstrated expertise in all lines of business by accurately assigning, entering, and documenting prior authorizations into claims processing systems. Exceeded company metrics for data quality and documentation.
• Applied specialized understanding of pharmacy and medical benefits to research and resolve issues. Subject matter expert in utilizing appropriate reference materials and interpreting benefits.
• Exceeded company quality and efficiency metrics through in-depth knowledge of pharmacy and medical benefits across all lines of business. Resident expert in benefit interpretation and application to provide optimal prescription solutions.
• Continuously expanded expertise of all prescription processing systems and reference materials. Leveraged knowledge to improve personal and department metrics for productivity and issue resolution.

• Delivered excellent customer service by accurately identifying patient needs, resolving conflicts, and ensuring prescription accuracy to promote patient safety/wellness and build loyalty.
• Leveraged expertise in dosage calculations, insurance billing, and label preparation to perform pharmacy technician duties. Subject matter expert in prescription processing and verification.
• Trained new pharmacy technicians and interns throughout the region to quickly develop proficiency. Conducted continuing education on interactions, claim issues, and compliance to elevate technician knowledge.
• Researched prescription questions and conflicts to provide optimal solutions focused on patient wellbeing, safety, and satisfaction. Resolved insurance claim problems to ensure smooth billing processes.
• Met and exceeded monthly metrics for prescription volume, data entry accuracy, customer satisfaction, compliance, and quality control through expertise in all pharmacy functions.
• Maintained pharmacy operations by performing daily, weekly, and monthly cleaning and compliance duties with high reliability and consistency.

Dedicated time to raising and nurturing my family, demonstrating strong organizational and multitasking abilities. Concurrently pursued prerequisite studies in pharmacy to stay abreast of industry advancements.

• Answered phone calls, responded to emails, routed mail and coordinated courier services.
• Developed and implemented office policies and procedures.
• Coordinated meetings, conferences, travel arrangements and department activities.
• Maintained filing system for records, correspondence and other documents.
• Verified patient insurance coverage and eligibility for dental services.
• Created and maintained accurate electronic records of all insurance claims and payments.
• Corresponded with patients, providers, and insurance companies to ensure timely processing of claims.
• Resolved any discrepancies between patient billing statements and insurance reimbursements.

• Provided comprehensive technical support to customers via telephone, email and chat.
• Resolved customer issues related to operating systems, network connectivity, software applications and hardware components.
• Troubleshot system errors and identified potential solutions.
• Diagnosed system problems using remote tools to access customer machines.
• Performed regular maintenance checks on servers, workstations and other devices connected to the network.
• Maintained an inventory of installed software products and their associated licenses.
• Conducted tests to identify malfunctions in hardware or software systems.
• Implemented new technologies such as cloud-based services or mobile device management systems.

• Developed and maintained project plans, schedules, budgets, and other related documents.
• Identified potential risks associated with projects and implemented strategies to mitigate them.
• Ensured compliance with organizational policies and procedures throughout the project life cycle.
• Managed daily activities of cross-functional teams to ensure successful completion of tasks within timeline.
• Provided technical guidance to team members in order to resolve complex issues related to IT projects.
• Analyzed customer requirements and developed detailed specifications for software applications.
• Performed quality assurance testing on deliverables before releasing them into production environment.

• Provided technical support to users with hardware and software issues.
• Developed and implemented IT policies and procedures.
• Conducted regular maintenance checks on computers, servers, routers, switches.
• Participated in the design of data storage solutions for large-scale projects.
• Analyzed system logs to detect any possible malfunctions or malicious activities on the network.
• Tested new products prior to their release into production environment.
• Liaised with vendors for procurement of IT hardware and software solutions.
• Maintained records, logs and lifecycle documentation of work requests.
• Performed continuous assessments of network structure, business content filters and security firewalls.
• Troubleshot hardware issues and worked with service providers to facilitate repairs for end users.

• Facilitated the implementation of new technologies in the classroom environment.
• Created and updated documentation for use with technology initiatives.
• Coordinated with vendors to ensure timely delivery of equipment and services.
• Instructed users on the proper use of technology resources.
• Tested applications prior to deployment to ensure compatibility with existing systems.
• Evaluated current technology solutions against industry standards for best practices.
• Implemented security measures to protect data from unauthorized access or modification.
• Configured local area networks as required by end users.
• Installed operating systems, application software, patches, updates., as necessary.
• Developed curriculum and learning materials to increase comprehension.