Prescription Benefits Manager at CVS Health with over 8 years of administrative experience in the healthcare sector. Demonstrated ability to enhance service quality through innovative prescription management solutions, meticulous documentation, and streamlined data processes. Proficient in MS Word, Excel, and PowerPoint. Motivated, resourceful, flexible, multitasker with a proven track record of improving customer experience and reducing processing errors, ensuring compliance and efficiency in fast-paced environment.
Overview
9
9
years of professional experience
Work History
Prescription Benefits Manager
CVS Health
Chandler, Arizona
08.2022 - Current
Ensured accurate documentation of patient’s medical history and insurance details, reducing processing errors
Maintained up-to-date member account information, improving customer experience
Streamline pharmacy data management, enhancing patient service efficiency
Successfully identified member dissatisfaction and assisted member in filing grievances after thoroughly researching the cause of the dissatisfaction and educating the member on possible solutions when available
Selected for A.I project testing automated inbound system within 6 months of being hired
Selected as a Learning Advocate to help train New Hire class of 12 regarding providing customer service for Med D Client (NEJE)
This included assisting the Trainer, providing answers in the Source, coordinating side by side call listening with tenured representatives to ensure adequate coverage and learning
Consistently met quality goals for member service for the past 12 months and continued to improve scores
Provided excellent customer service by assisting member who were calling in with complex questions and problems with their Med D prescription drug plan and effectively using multiple tools (People safe, Source, Compass, MHK, CMS) thoroughly researched and helped resolve the members questions or concerns
This included reaching out to other areas of the company, (CD&A, Clinical) as well as doctors and pharmacies to fully resolve the issue and exceed member’s expectations
Consistently achieved 100% SQM scores
Maintained above 90% first call resolution scores
Restaurant Expo/Expediter
Bigs American Sports Bar and Grill
Peoria, Arizona
10.2022 - 05.2023
Organize and prioritize orders from the kitchen, ensuring the right dishes are prepared in the correct sequence
Communicate with chefs to make sure all components of an order are ready to be served simultaneously
Expedite special orders, dietary requests, or modifications to ensure they are correctly fulfilled
Inspect every dish for accuracy, presentation, portion size, and quality before it leaves the kitchen
Ensure that food is served at the correct temperature (hot dishes hot, cold dishes cold)
Verify that all special requests, such as allergies or specific modifications, are followed precisely
Monitor ticket times to ensure that food is being prepared and served within the desired timeframe
Coordinate with the kitchen staff to manage the timing of orders during busy periods and avoid delays
Ensure all plates for particular table go out at the same time, maintaining consistency in service
Serve as the primary point of contact between the kitchen and the waitstaff
Relay important information about food preparation times, substitutions, or issues to the front-of-house staff
Inform servers when an order is ready for pick-up and ensure they deliver the food quickly
Address any issues with incorrect orders or missing items promptly
Communicate with the kitchen of there are any mistakes or delays, ensuring a swift resolution
Adjust the flow of orders during rush times to keep the kitchen and serving process running smoothly
Keep the expediting station clean and organized, ensuring all utensils, plates, and garnishes are in place
Ensure the pass-through area is free of clutter to avoid confusion or delays in service
Help organize plates and silverware for servers to take to the dining area
Occasionally assist with inventory checks or managing stock related to the expediting station (garnishes, sauces)
Fill in for other staff if required, helping with basic kitchen or front-of-house tasks
Medical Administrative Assistant
Arizona Medical Weight Control
Phoenix, Arizona
05.2016 - 07.2022
Greet patients and visitors as they arrive at the office