Dynamic leader with a proven track record at Mitchell International, Inc., adept in medication benefit management and enhancing operational efficiency. Excelled in department leadership and problem-solving, achieving significant drug cost savings. Skilled in implementing data-driven strategies and fostering collaboration, demonstrating adaptability and a commitment to excellence.
Overview
10
10
years of professional experience
Work History
Pharmacy Benefits Manager
Mitchell International, Inc.
04.2017 - Current
Leading customer service representatives to deliver appropriate pharmacy benefit resolutions.
Daily resolution to escalated situations.
Evaluate medication utilization reviews to identify drug recommendations.
Reviewing drug formularies, ensuring access to safe, effective, and affordable medications for members.
Collaborate with healthcare providers to optimize patient care and promote appropriate medication use.
Achieve drug cost savings for clients.
Implemente data-driven strategies to enhance operational efficiency in the processing of prescription claims.
Delivered high-quality customer service through prompt resolution of inquiries from members, providers, or other parties involved in the delivery of pharmacy benefits services.
Streamline workflows within the organization by implementing process improvements.
SEO Associate
Internet Local Listings
03.2014 - 06.2016
Analyze SEO outreach goals and presented findings to marketing director.
Collaborate with sales and marketing teams to align SEO initiatives with overall business goals, ensuring a cohesive approach to driving growth.
Enhance organic search rankings for target keywords through comprehensive on-page and off-page optimization.
Daily support of Sales Team, monitor customer account and finalize client contracts.
Provide information to clients by collecting, analyzing, and summarizing information responding to all client requests and client retention
Education
Medical Billing
Everest College - Santa Ana
Santa Ana, CA
02.2014
Skills
Department Leadership
Claims Processing
Pricing strategy
Medication Benefit Management
Drug utilization review
Cost Containment Strategies
HIPAA Compliance
Document Preparation
Data Collection
Open enrollment coordination
Workers Compensation
Performance Management
Auditing procedures
Problem-Solving
Decision-Making
Adaptability and Flexibility
Languages
Spanish
Full Professional
Timeline
Pharmacy Benefits Manager
Mitchell International, Inc.
04.2017 - Current
SEO Associate
Internet Local Listings
03.2014 - 06.2016
Medical Billing
Everest College - Santa Ana
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