Dennis Cueva
Santa Ana,CA
Summary
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, CA02.2014
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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