Christine L. Baier
Milford,MA
Summary
Experienced Clinical Analyst specializing in data-driven decision-making and formulary operations. Proven success in analyzing clinical data to drive enhancements in clinical and financial performance. Proficient in drug database mapping and reporting clinical data from multiple sources to support formulary strategies. Over a decade of experience in retail and LTC pharmacy, delivering actionable insights for complex clinical challenges.
Overview
13
13
years of professional experience
2
2
Certificates
Work History
Clinical Analyst, Formulary Operations, CPhT
RxAdvance, nirvanaHealth
Southborough, MA
05.2021 - 12.2025
- Executed clinical operations for PBM, managing formulary and UM for commercial and Medicare plans.
- Served as committee secretary for Pharmacy and Therapeutics (P&T) Committee, leading clinical research, therapeutic class reviews, and quarterly presentations.
- Designed and implemented UM decision trees, optimizing UM review process.
- Generated custom reports from various databases containing patient demographics and health care utilization data to assess program strategy.
- Managed drug database mapping across MediSpan, FDB, NSDE, and other platforms.
- Led implementations and product enhancements within proprietary systems.
- Ensured compliance with CMS Reporting and HPMS submissions.
- Maintained URAC and NQCA standards, overseeing accreditation processes and clinical policies.
- Led various Clinical Programs, e.g. Fraud, Waste, and Abuse monitoring
- Monitored clinical events, e.g., drug recalls, withdrawals, shortages.
- Managed vendors and utilization of vendor tools, e.g. MMIT.
- Developed training materials for staff on new clinical systems and processes.
- Implemented quality assurance measures for clinical data reporting and compliance.
- Analyzed current business processes to identify areas of improvement and develop strategies to optimize workflows.
- Monitored performance of existing systems to ensure optimal operations in accordance with established SLAs.
- Conducted requirements gathering sessions with stakeholders to define clinical process and system changes.
Certified Pharmacy Technician (CPhT), Intake Case Management
MedMinder Pharmacy, LLC
Needham, MA
11.2018 - 05.2021
- Executed pharmacy intake for referred patients, ensuring HIPAA compliance and obtaining prescriptions.
- Conducted medication reconciliation based on medical data from doctors’ offices to tailor daily regimens.
- Utilized MedMinder Smart pill box for developing adherence plans for individual patients.
- Programmed pharmacy robot to custom-fill organized medication refill trays efficiently.
- Counseled patients on proper medication usage and monitored adherence via MedMinder app.
- Managed insurance billing processes for Medicare and Medicaid, addressing issues through software and calls.
- Handled prior authorizations and certificates of medical necessity for insurance requirements.
- Developed comprehensive marketing materials, including brochures, patient letters, and standard operating procedures.
Senior Certified Pharmacy Technician
Walgreens
Bellingham, MA
08.2012 - 01.2020
- Processed prescriptions through accurate data entry and filling procedures.
- Counseled patients on medication usage and adherence via in-person consultations and phone calls.
- Managed insurance, Medicare, and Medicaid claims processing and troubleshooting using software.
- Conducted weekly inventory counts of controlled substances, including CII drugs.
- Organized and maintained official pharmacy records for regulatory compliance.
- Scheduled daily employee shifts to ensure optimal staffing levels.
- Executed daily stock orders for medications to maintain inventory balance.
Education
Biochemistry -
UMass Boston
06.2018
Medical and Molecular Biology -
MCPHS University
05.2015
General Studies Health -
MassBay Community College
05.2013
Biomedical Engineering
Rensselaer Polytechnic Institute
Troy, New York, NY06-2010
Skills
- Pharmacy technician with 10 years experience
- Microsoft Office proficiency (MS Excel advanced, MS Visio, MS PowerPoint, MS Word, etc)
- Adobe PDF creation and editing
- SQL query writing
- Pharmacy claims processing
- Project planning and management
- Marketing and client-facing material design
- Clinical and market insights research expertise
- Drug database mapping
- Clinical data mapping, analysis, and validation
- HPMS submission and reporting experience
- Healthcare and URAC compliance knowledge
- Utilization management review
- Effective communication skills
- Problem-solving abilities
- Attention to detail
- Continuous learning mindset
Certification
National Pharmacy Technician Certification Board - CPhT License
Affiliations
American Orchid Society - Student Judge
Timeline
Clinical Analyst, Formulary Operations, CPhT
RxAdvance, nirvanaHealth
05.2021 - 12.2025
Certified Pharmacy Technician (CPhT), Intake Case Management
MedMinder Pharmacy, LLC
11.2018 - 05.2021
Senior Certified Pharmacy Technician
Walgreens
08.2012 - 01.2020
Biochemistry -
UMass Boston
Medical and Molecular Biology -
MCPHS University
General Studies Health -
MassBay Community College
Biomedical Engineering
Rensselaer Polytechnic Institute