Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Certification
Timeline
Hi, I’m

DANIELLE FERRER-MARCHESANO

Ridley Park,PA
DANIELLE FERRER-MARCHESANO

Summary

To obtain a position that offers challenge and opportunity for advancement.

Responsible executive with excellent communication skills demonstrated by years of experience in people management, budgets, payroll, account management, project management, compliance, vendor oversight, pharmacy benefits, audits, healthcare, with proactive and independent decision-making skills.

Overview

32
years of professional experience
1
Certification

Work History

Pharmacy Operations, Devoted Health

Manager, Clinical Pharmacy Operations Manager
01.2021 - Current

Job overview

  • Provides guidance and coaching on day-to-day pharmacy technician responsibilities
  • Executes against clinical key performance indicators (KPIs)
  • Confirms resources for pharmacy technicians
  • Ensures compliance with regulations
  • Establishes policies and procedures
  • Builds and onboards a team of pharmacy technicians
  • Performs outreach for medication adherence program
  • Coordinates with product team
  • Serves as a resource for medication-related inquiries
  • Tracks interventions and oversight responsibilities
  • Improves member experience
  • Thrives in a fast-paced environment
  • Works as part of a multidisciplinary care team
  • Develops and coaches a team
  • Communicates effectively
  • Organized and time management skills
  • Supports US healthcare improvement
  • Cares for Medicare patients.

Pharmacy Operations, PerformRx

Manager, Pharmacy Network Operations & Pharmacy Audit
01.2014 - 12.2020

Job overview

  • Leads Network Management staff
  • Ensures pharmacy networks meet client needs
  • Mentors growth of direct and indirect reports
  • Holds reports accountable
  • Creates and maintains quality assurance culture
  • Leads auditor team for Fraud, Waste, and Abuse identification
  • Collaborates on proactive solutions
  • Manages Network Operations team
  • Develops and implements quality improvement plans
  • Supports business growth
  • Ensures network management controls comply with requirements
  • Maintains policy and procedures
  • Responsible for pharmacy audit recoveries
  • Adapts plans to address challenges
  • Manages compliance and vendor oversight.

Government Services, Catamaran

Compliance Manager and Vendor Oversight
01.2012 - 01.2014

Job overview

  • Manages compliance program
  • Supports development and management of Medicare Part D Compliance Program
  • Writes and translates Medicare business requirements
  • Conducts vendor risk assessment
  • Oversees downstream entities
  • Performs audits
  • Develops policies and procedures
  • Monitors implementation of corrective action plans
  • Coordinates with other teams
  • Leads clients and partners to understand program developments
  • Presents audit outcomes
  • Initiates corrective action plans
  • Manages vendor oversight.

Government Services, Future Scripts (Catamaran Company)

Compliance Manager
11.2010 - 11.2012

Job overview

  • Administers and monitors Compliance Program
  • Ensures compliance with regulations and standards
  • Reviews and interprets CMS regulations
  • Monitors company performance
  • Develops policies and procedures
  • Coordinates audits and reviews
  • Supports departments in meeting regulatory requirements
  • Works collaboratively with Legal and Government Programs
  • Oversees subcontractor/vendor activities
  • Supports Client Management.

Implementations, Future Scripts / Independence Blue Cross

Senior Implementation Manager
06.2008 - 10.2010

Job overview

  • Provides direction and manages implementation activities
  • Gathers business requirements
  • Creates project plans
  • Supports strategic initiatives
  • Provides support to sales and retention
  • Works with internal teams
  • Supports new customer implementations
  • Supports existing customers
  • Implements changes
  • Delivers presentations.

Retail Pharmacy, Beckett's Apothecary

Supervisor, Lead Pharmacy Technician
10.1999 - 03.2009

Job overview

  • Provides customer service
  • Performs data entry and prescription preparation
  • Interacts with other departments
  • Handles insurance and billing
  • Fills bulk products
  • Checks orders
  • Works with medical equipment and OTC products
  • Multitasks and works under pressure.

Pharmacy Prior Authorization, PerformRx

Manager, Pharmacy Prior Authorization
12.2006 - 06.2008

Job overview

  • Assesses pharmacy audit requirements
  • Manages daily operations
  • Certifies department performance
  • Trains and guides staff
  • Reviews statistics and reports
  • Ensures adherence to requirements
  • Manages systems integration
  • Presents capabilities
  • Provides growth opportunities
  • Responds to proposals
  • Manages call center
  • Maintains policies and procedures
  • Audits reviews and calls.

Pharmacy Prior Authorization, Keystone Mercy Health Plan

Supervisor, Pharmacy Prior Authorization
10.2005 - 12.2006

Job overview

  • Supervises pharmacy services technicians
  • Trains and guides staff
  • Ensures coverage
  • Analyzes training needs
  • Maintains drug formulary
  • Reviews and approves requests
  • Tracks and analyzes data
  • Manages call center
  • Conducts research
  • Responds to inquiries
  • Maintains prior authorization process
  • Audits reviews and calls.

Keystone Mercy Health Plan

Quality Auditor/Call Center Training Specialist
10.2002 - 03.2005

Job overview

  • Assesses training needs
  • Designs and delivers training
  • Conducts ongoing training
  • Develops refresher training
  • Manages call center
  • Implements quality auditing
  • Questions inaccuracies
  • Records audit findings
  • Utilizes system applications
  • Adheres to reporting requirements
  • Maintains databases
  • Keeps updated on industry trends
  • Identifies problems and recommends improvements.

Retail Pharmacy, Alpine Drugs

Manager
10.1992 - 10.2002

Job overview

  • Manages pharmacy operations
  • Converts system
  • Manages schedules and personnel
  • Provides customer service
  • Resolves complaints
  • Handles prescriptions and inventory
  • Maintains facility.

Education

University Overview

  • Microsoft Office Suite, VISIO, MS Project, Databases, Claims Processing Systems, Business Implementations, Audits, People Manager, Training, Account Management, Vendor Oversight, and Compliance.
  • Network Technician CHUBB Institute - Springfield, PA
  • Delaware County Community College - Philadelphia, PA
  • Southern New Hampshire University – Manchester, NH

Skills

  • Strategic Planning
  • Staff Development
  • Performance Management

Hobbies and Interests

Hobbies and Interests
  • Special Olympics: Chaperone players, pick up and serve food, and other tasks as needed.
  • The Gift of Life Foundation: Participate in 10k run/walkathon, fundraise money and awareness for organ donation.
  • The United Way: Volunteer at the Senior Center and the Red Cross.
  • The SIDS Foundation: Participate in 3k run/walkathon, fundraise money and awareness for SIDS.
  • American Foundation for Suicide Prevention: Participate in 3-5k run/walkathon, fundraise money and awareness for Suicide Prevention.
  • American Diabetes Association: Participate in 3-5k run/walkathon, fundraise money and awareness for Diabetes Research.
  • American Cancer Society: Participate in 3-5k run/walkathon, fundraise money and awareness for Cancer Research.

Certification

Certified Pharmacy Technician CPhT

Timeline

Manager, Clinical Pharmacy Operations Manager
Pharmacy Operations, Devoted Health
01.2021 - Current
Manager, Pharmacy Network Operations & Pharmacy Audit
Pharmacy Operations, PerformRx
01.2014 - 12.2020
Compliance Manager and Vendor Oversight
Government Services, Catamaran
01.2012 - 01.2014
Compliance Manager
Government Services, Future Scripts (Catamaran Company)
11.2010 - 11.2012
Senior Implementation Manager
Implementations, Future Scripts / Independence Blue Cross
06.2008 - 10.2010
Manager, Pharmacy Prior Authorization
Pharmacy Prior Authorization, PerformRx
12.2006 - 06.2008
Supervisor, Pharmacy Prior Authorization
Pharmacy Prior Authorization, Keystone Mercy Health Plan
10.2005 - 12.2006
Quality Auditor/Call Center Training Specialist
Keystone Mercy Health Plan
10.2002 - 03.2005
Supervisor, Lead Pharmacy Technician
Retail Pharmacy, Beckett's Apothecary
10.1999 - 03.2009
Manager
Retail Pharmacy, Alpine Drugs
10.1992 - 10.2002

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DANIELLE FERRER-MARCHESANO