Forward-thinking Operations Specialist bringing 7 years of expertise in Healthcare Leadership from Pharmacy and Insurance sectors. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in EPIC and change management.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Stars Adherence Specialist
CommunityCare Health Insurance
11.2022 - Current
The primary objective at CommunityCare was to increase STARS medication adherence ratings
Improved quality of patient care by developing new workflows and procedures to address SDOH barriers
Pioneered an experimental role and facilitated collaborative discussions with internal and external clinical leadership to identify growth opportunities for STARS ratings
Fostered accountable partnerships through strategic goal-setting sessions and collaborative discussions, resulting in a notable performance improvement of 2% across STARS Medication Adherence Measures and 10% in the SPC metric
Identified process improvement opportunities in data collection and member engagement such as predictive modeling to identify priority populations, developed data-driven solutions to address provider staffing shortages, and aligned the goals of diverse Owner groups into a shared vision
Conducted HEDIS record chasing for audits to ensure accurate and complete healthcare data
Led a postcard campaign to address Medication Therapy Management (MTM) gaps with an 8% improvement rate from 2022
Developed new workflows, call scripts, and resource guides for internal outreach efforts to Medicare members for medication adherence
Training clinical staff and nonclinical staff on developed workflow
Led health fair outreach project planning.
Conducted thorough research to identify trends and inform decision-making for business growth initiatives.
Collaborated with cross-functional teams to achieve project goals on time and within budget.
Developed strong client relationships through consistent communication and attentive service.
Enhanced team productivity by streamlining processes and implementing time-saving strategies.
Pharmacy Operations Manager
Walgreens
05.2017 - 11.2022
Showcased strong leadership skills and commitment to quality care as the Pharmacy Operations Manager at Walgreens by fostering a culture of accountability and continuous improvement of pharmacy processes that caused patient delays, balancing staff schedules for efficient coverage at the pharmacy, overseeing the pharmacy team's successful completion of daily, weekly, and monthly expectations, onboarding new hires, and setting pharmacy goals based on organizational objectives and KPI’s
Implemented Medication Therapy Management (MTM) strategies to identify and engage with patients which optimize therapeutic outcomes through collaborative efforts with pharmacists
Demonstrated a proactive approach to patient engagement, preventing adherence gaps by understanding my patients' needs such as transportation, economic, or social, and how on a pharmacy level we could engage them back in their health
Aligned pharmacy operations with corporate strategies through strategic planning and execution by collaborating with pharmacy teams and setting clear expectations of new workflows.
Improved pharmacy efficiency by streamlining operations and implementing new inventory management systems.
Reduced medication errors through meticulous oversight of prescription fulfillment processes and staff training.
Managed budget and resources effectively to maximize profitability while maintaining a high-quality service for patients.
Increased customer satisfaction by enhancing communication between pharmacists, technicians, and customers.
Education
Associate in Philosophy -
Tulsa Community College
Bachelor of University Studies Focus on Health and Philosophy -
Oklahoma State University
Master’s in Health Administration -
Western Governs University
Skills
Onboarding
Epic/Cerner Experience
KPI Tracking
Staff Scheduling
Training/Coaching
Performance Reviews
Medication Therapy Management
Collaboration
Workflow Development and Management
Customer Relations
Root Cause Analysis
Conflict resolution
Certification
Lean Six Sigma Green Belt
Nationally Certified Pharmacy Technician
Rational Emotive Behavioral Therapy Certified
Timeline
Stars Adherence Specialist
CommunityCare Health Insurance
11.2022 - Current
Pharmacy Operations Manager
Walgreens
05.2017 - 11.2022
Associate in Philosophy -
Tulsa Community College
Bachelor of University Studies Focus on Health and Philosophy -