Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Elizabeth Vargas

New Port Richey

Summary

I am a highly passionate individual who thrives upon new challenges through my career as a Clinical Audit Coordinator. My various years of working in quality assurance and audit, and has sparked an interest to seek the role of a Business Analyst. I am motivated to expand in a new role and join a group of experienced Business Analyst professionals within the Pharmacy department.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Clinical Audit Coordinator

Centene
08.2015 - Current
  • Analyzed data across large sets against designed controls and processes.


  • Supported CMS and UM Audits audits with expert assistance and coordination.
  • Resolved conflicts between departments arising from identified issues during internal audits diplomatically before escalating situations adversely impacting overall corporate performance metrics.
  • Trained junior team members on best practices in auditing procedures, contributing to overall team efficiency and expertise.
  • Ensured compliance with industry regulations, reducing potential fines and penalties for the organization.
  • Managed multiple simultaneous audit projects, ensuring timely completion while maintaining high-quality standards throughout each engagement.
  • Create step actions for new reports and processes to the team
  • Assisted supervisor with various team tasks such as daily team emails, announcements and quality data reporting
  • Auto-forwarded cases to Independent review entity
  • Submitted coaching's for technician errors

Pharmacy Technician

Wellcare
09.2013 - 08.2015
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • worked and reviewed prior authorization requests received in the pharmacy department
  • Assisted in various pharmacy queues such as intake and EEQ.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during calls.
  • Entered and processed patients' prescriptions into internal system.
  • Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.

Pharmacy Technician

Florida Pharmacy Solutions
06.2012 - 03.2013
  • Counted and labeled prescriptions with correct item and quantity.
  • Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Entered and processed patients' prescriptions into internal system.
  • Counted, measured and compounded medications following standard procedures.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Assisted pharmacists in preparing and dispensing medications to ensure patient safety.

Pharmacy Technician

CVS Pharmacy
04.2011 - 06.2012
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Collected co-payments or full payments from customers.
  • Counted, measured and compounded medications following standard procedures.
  • Entered and processed patients' prescriptions into internal system.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
  • Resolved third-party billing, computer system and customer service issues.
  • Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.

Education

CPhT - Pharmacy Technician

Everest University
Lakeland, FL
2011

Skills

  • Trained in Compass/Compass BI/ESI
  • Proficient knowledge with Excel, including formulas and functions to be able to analyze data
  • Proficient in Microsoft Outlook, Word, Powerpoint and One Note
  • Data entry/review specialist
  • Experience with submitting tickets for case correction
  • Eight years of CMS Audit experience and Audit sampling, correction and validation

Certification

  • Certified Pharmacy Technician, CPhT 6101-0701-0352-997
  • Registered Pharmacy Technician, RPT 37048

Timeline

Clinical Audit Coordinator

Centene
08.2015 - Current

Pharmacy Technician

Wellcare
09.2013 - 08.2015

Pharmacy Technician

Florida Pharmacy Solutions
06.2012 - 03.2013

Pharmacy Technician

CVS Pharmacy
04.2011 - 06.2012

CPhT - Pharmacy Technician

Everest University

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Elizabeth Vargas