Delois Simmons
1215 Thomas Combs Dr Unit 6203 Charlotte,North Carolina
Summary
Detail-oriented and analytical analyst with a strong background in pharmacy data analysis, project management, and pharmacy benefits administration. Proven ability to manage formulary implementations, troubleshoot claims adjudication issues, and optimize operational workflows within pharmacy benefits management (PBM) platforms. Adept at collaborating with cross-functional teams, leading training sessions, and bridging the gap between technology, clinical objectives, and business operations.
Overview
11
11
years of professional experience
Work History
Pharmacy Program Analyst
Commonwealth Care Alliance
05.2023 - 11.2024
- Oversaw & maintained plan formularies in claims processing system and confirms coding changes have been completed and implemented accurately.
- Spearhead project planning and implementation, ensuring smooth transitions for new client services and programs.
- Developed comprehensive project plans, monitor progress, and maintain open items logs for effective tracking and reporting.
- Collaborated with cross-functional teams to address client needs, performing impact analysis and requirements gathering.
- Conducted training sessions for new team members on program processes.
Pharmacy Support Operations Specialist
Novant Health
12.2020 - 02.2023
- Facilitated cross-departmental meetings, fostering collaboration and consensus on key initiatives.
- Analyzed large datasets, identifying key trends supporting strategic decision-making processes.
- Streamlined processes for faster project completion and optimized resource allocation.
- Oversaw day-to-day operations, delegating tasks appropriately to ensure smooth workflow and timely completion of projects.
- Utilized project management software to track stakeholder feedback and improve project delivery.
Pharmacy Project Coordinator
Parkway Pharmacy
07.2013 - 08.2018
- Guided team efforts to enhance overall productivity and morale.
- Achieved project goals with meticulous planning and resource allocation.
- Coordinated project timelines for successful completion of strategic initiatives.
- Identified trends and insights by analyzing operational data.
- Generated reports for informed decision-making across departments.
- Collaborated with area managers to evaluate needs and optimize operational plans.
Education
Bachelor of Specialized Studies - Business Communication
Ohio University
Athens, OhioSkills
- Pharmacy Benefit Management (PBM) experience
- Microsoft Suite (Excel, PowerPoint, Word)
- Pharmacy claims processing & adjudication
- Building cross-functional relationships (internal & external stakeholders)
- Strategic planning
- Business process improvement
- Data analysis
Timeline
Pharmacy Program Analyst
Commonwealth Care Alliance
05.2023 - 11.2024
Pharmacy Support Operations Specialist
Novant Health
12.2020 - 02.2023
Pharmacy Project Coordinator
Parkway Pharmacy
07.2013 - 08.2018
Bachelor of Specialized Studies - Business Communication
Ohio University
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