Danielle Brown
Memphis,TN
Summary
As a healthcare professional, I emphasize collaboration, leadership, teamwork, planning, and coordination. With more than nine years in healthcare project management, I have successfully overseen operations, client contracts, protected patient data, and maintained regulatory compliance. My entire career spans 22 years in which I have honed outstanding abilities in communication, organization, and time management. I prioritize fostering robust, reliable connections between clients, patients, and caregivers during the referral process. I am dedicated to implementing creative strategies that boost operational efficiency and elevate patient care. Results-oriented expert with a strong grasp of business analytics and making decisions based on data. Demonstrated capacity to produce significant insights and enhance workflows. Recognized for successful teamwork and adjusting to changing situations.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Pharmacy Program Management Senior Analyst
Accredo
05.2024 - Current
- Perform, evaluate, and analyze information to understand needs and recognize trends.
- Manage patient and client escalations while fostering relationships with pharmaceutical partners.
- Collect data and provide insights for monthly and quarterly business evaluations.
- Collaborate with other departments to resolve process delays, thus improving support for patients and clients.
- Oversee vendor and client agreements to guarantee adherence to organizational policies.
- Analyzed data to identify root causes of problems and recommend corrective actions.
Unit Coordinator
Methodist Germantown-NICU
08.2022 - Current
- Facilitate smooth patient flow during admissions, transfers, discharges, and follow-up scheduling, while keeping staff informed about patient status.
- Greet parents and families while answering incoming calls.
- Improve unit efficiency by ensuring patient information is up to date. Safeguard and manage patient medical records while preserving confidentiality.
- Effectively order, handle, and monitor office supplies.
- Conducted in-person greeting, welcome and orientation for newly admitted and transferred patients.
Pharmacy Prior Authorization Senior Analyst
Cigna
12.2022 - 05.2024
- Point of contact for both external and internal clients on outage reports, analyzing trends, and coordinating meetings.
- Research trends and collaborate with internal cross-functional teams to manage departmental trends accurately and promptly.
- Supporting strategic planning and cost-reduction initiatives for alignment.
- Creating and resolving IMT/INC tickets in ServiceNow for OnePA systems.
Oncology Eligibility Lead Representative
Accredo
09.2020 - 12.2022
- Monitored workflow and managed daily reports and support reassignments.
- Handled escalations, billing, updated job aids, and assisted with prior authorization processes.
- Reviewed team metrics and collaborated with leadership for enhancements.
- Improved customer experience through effective service and issue resolution.
- Establish quarterly goals and oversee the performance of the team.
- Managed training initiatives to improve teamwork and performance, ensuring company standards are met.
Pharmacy Prior Authorization Senior Representative
Accredo
05.2020 - 09.2020
- Coordinated and verified service eligibility for reimbursement, including deductibles and required authorizations.
- Developed collaborative solutions to drug coverage issues affecting revenue optimization.
- Conducted medical and pharmacy benefit verifications requiring advanced decision-making and process knowledge.
- Lead as a subject matter expert, providing assistance and support with escalations, daily responsibilities, and emails to promote a collaborative and efficient team environment.
Intern
Methodist University
01.2020 - 05.2020
- Developed cleaning protocols
- Created flow diagrams for organization
- Coordinated employee interviews and screenings
- Conducted Patient Awareness and Satisfaction surveys
- Sorted and organized files, spreadsheets, and reports.
Prior Authorization Representative
Accredo
10.2017 - 05.2020
- Collected information on policy benefit limitations from providers and payers.
- Managed inquiries from patients, pharmacists, and physicians about oncology prior authorizations and specialty drugs.
- Supervised medical billing activities, encompassing claims, reimbursements, adjustments, and appeals.
- Built strong relationships with stakeholders to ensure smooth coordination in the prior authorization process.
Patient Services Coordinator
UBC
05.2015 - 10.2017
- Managed sensitive patient data, adhering to HIPAA regulations for privacy and confidentiality.
- Maintained detailed patient records and updated information in the electronic health record system.
- Organized patient records for efficient storage and retrieval.
- Data entry intake representative recorded and input patient information into the system.
- Streamlined communication between patients, medical staff, and the Hub for prompt responses.
Education
Bachelor of Science - Health Studies-Healthcare Leadership
University of Memphis
Memphis, TN01.2020
Associate - Medical Administrative Technology
Southwest Community College
Memphis, TN01.2016
Skills
- Administrative support
- Performance Management
- Office Management
- Microsoft Office
- Strategic Planning
- ServiceNow
- Vendor Management
- Microsoft SharePoint
- MS Excel
Certification
Computer Software Specialist (Univ. of Memphis)
Timeline
Pharmacy Program Management Senior Analyst
Accredo
05.2024 - Current
Pharmacy Prior Authorization Senior Analyst
Cigna
12.2022 - 05.2024
Unit Coordinator
Methodist Germantown-NICU
08.2022 - Current
Oncology Eligibility Lead Representative
Accredo
09.2020 - 12.2022
Pharmacy Prior Authorization Senior Representative
Accredo
05.2020 - 09.2020
Intern
Methodist University
01.2020 - 05.2020
Prior Authorization Representative
Accredo
10.2017 - 05.2020
Patient Services Coordinator
UBC
05.2015 - 10.2017
Bachelor of Science - Health Studies-Healthcare Leadership
University of Memphis
Associate - Medical Administrative Technology
Southwest Community College
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