Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance. Over 11 years of experience in pharmacy industry with strong background in retail, hospital and insurance pharmacy. Committed to improving operational efficiency and enhancing patient outcomes through data-driven insights.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Pharmacy Specialist
Horizon NJ Health
04.2024 - Current
Receive and process verbal and written requests for prior authorization from pharmacists, physicians, and members.
Engage in telephonic interactions with members, physician office staff, pharmacies, and internal stakeholders regarding pharmacy eligibility and claim issues.
Conduct effective interventions with physicians and pharmacists to facilitate formulary compliance and optimize generic dispensing.
Capture accurate clinical information for prior authorization requests to allow for medical necessity determination.
Ensure compliance with departmental customer service quality metrics and regulatory turnaround times.
Process complaints, appeals, grievances, and compliance-related issues.
Identify instances of potential fraud, waste, and abuse and make necessary internal referrals.
Provide recommendations to increase efficiency and productivity in the department.
Assist in the day-to-day functions of the pharmacy department to support clinical programs.
Manages approximately 85 incoming calls, emails and faxes per day from customers.'
Pharmacy Technician
Children's Hospital of Philadelphia
12.2018 - 03.2024
Execute Patient Specific Daily Batch SVP
Production as per CHOP Pharmacy SOP
Execute Medication Delivery and Medication Cassette Exchange as per CHOP Pharmacy SOP
Inventory Control
Compliant to all aseptic technique work practices and associated CHOP Pharmacy SOPs
Maintain all required documentation for clean room operations
Ensures the secure storage of narcotics and other controlled substances.
Responsible for compliance to all federal, state, and department standards and regulations for sterile product compounding- USP797, USP800, CMS Conditions of Participation, FDA Compounding Guidance and TJC standards
Responsible for accurately preparing patient-specific and non-patient specific doses by ensuring that the compounded sterile products (CSP) are accurately identified, measured, reconstituted, diluted, mixed, sterilized, packaged, labeled, and stored.
Customer Service Supervisor
Turnersville Kia
07.2017 - 12.2018
Identified customer service trends to provide recommendations for process and procedural improvements.
Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
Improved office operations by automating client correspondence, record tracking and data communications.
Coached team members to deliver hospitable, professional service while adhering to set service models.
Actively supported service associates by quickly responding to questions via phone and email and finding appropriate solutions to customer issues.
Pharmacy Technician
CVS Health
10.2014 - 07.2017
Counted and labeled prescriptions with correct item and quantity.
Inventory control
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
Prepared bills for clients and submitted required paperwork to insurance companies.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency
Coordinated verification and filling of more than 100 daily prescriptions in high-volume retail pharmacy environment.
Education
Bachelor of Science - Biology
Rowan University
Glassboro, NJ
05.2019
Associate of Science - Health/Exercise Science
Camden County College
Blackwood, NJ
12.2015
Skills
Microsoft Excel
Project Management
Clinical monitoring
Patient counseling
Pharmaceutical calculations
Drug utilization review
Documentation
Compounding experience
Audit support
Medicare and medicaid process
Accomplishments
Achieved 5 time representative of the month by completing daily job function with accuracy and efficiency.
Certification
Licensed NJ Pharmacy Technician - 08/2024-08/2026
Timeline
Pharmacy Specialist
Horizon NJ Health
04.2024 - Current
Pharmacy Technician
Children's Hospital of Philadelphia
12.2018 - 03.2024
Customer Service Supervisor
Turnersville Kia
07.2017 - 12.2018
Pharmacy Technician
CVS Health
10.2014 - 07.2017
Bachelor of Science - Biology
Rowan University
Associate of Science - Health/Exercise Science
Camden County College
Achievements
Three time agent of the month (December, January, and March).
NJ Pharmacy Technician Registration - 09/2016- Currently
Care Specialist I - DCP&P (Department of Child Protection and Permanency) at Horizon NJ HealthCare Specialist I - DCP&P (Department of Child Protection and Permanency) at Horizon NJ Health