Ethan Kalua'u
Summary
Experienced pharmacy operations specialist with a decade of expertise in financial analysis, claims management, and team leadership. Proven track record in driving operational excellence and providing comprehensive training. Well-versed in clinical operations and healthcare delivery within the pharmacy sector. Uniquely positioned to contribute to healthcare administration through in-depth knowledge of regulatory compliance and best practices. Demonstrated success in developing and implementing tailored policies and procedures. Committed to optimizing operations, ensuring compliance with industry standards, and seamless integration into the broader healthcare administration landscape.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Project Manager/ Quality Assurance Manager/ Data Entry Lead/ Lead Therapeutic Optimization
Community Nursing Services Pharmacy
01.2020 - Current
- Implement pharmacy projects with efficiency and timeliness.
- Create and execute collaborative practice agreements with providers for medication therapy
- Analyze financial impact reports for business analysis
- Manage pharmacy data entry communication
- Manage facility MARs/patient insurance benefits
- Oversee pharmacy Quality Assurance program and internal reports through daily and monthly audits as outlined by DOPL and Utah State Guidelines
- Manage incoming inventory, and electronic orders, and oversee/finalize paperwork for financial reports
- Performed occasional software IT as needed for pharmacy software programs
- Conducted process and system audits to identify areas of improvement and enforce compliance with industry standards
Entry Manager/ Lead IV Technician/ Claim Specialist/ Lead
Select Pharmacy
06.2017 - 02.2020
- Data entry manager for scripts and managing facility system MARs
- Managed 20+ automated dispensing machines for skilled nursing and rehab facilities
- Coordinate facility visits and needs
- Lead IV technician following USP 797 guidelines
- IV Instructor and Certifier
- Insurance claims specialist for therapeutic optimization team
Pharmacy Technician/ IV Technician/ Data Entry
HealthWise Pharmacy
11.2013 - 06.2017
- Managed 10+ Pixes, Med Dispense, and StatSafe machines for skilled nursing and rehab facilities
- IV compounding and Lead IV tech/Trainer
- Generated high-return revenue systems
- Created and executed collaborative practice agreements with providers
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Education
Bachelors - Healthcare Administration, Business Management
Utah Valley University
Orem, Utah12.2023
Associates Degree - Science
Utah Valley University
Orem, Utah2021
Skills
- Strategic Planning
- Resource Allocation
- Project Tracking
- Inventory Control
- Policy and Program Development
- Process Implementation
- Employee Training Program
- Patient Registration
- Medical Billing
- Operational Records Maintenance
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Project Manager/ Quality Assurance Manager/ Data Entry Lead/ Lead Therapeutic Optimization
Community Nursing Services Pharmacy
01.2020 - Current
Entry Manager/ Lead IV Technician/ Claim Specialist/ Lead
Select Pharmacy
06.2017 - 02.2020
Pharmacy Technician/ IV Technician/ Data Entry
HealthWise Pharmacy
11.2013 - 06.2017
Bachelors - Healthcare Administration, Business Management
Utah Valley University
Associates Degree - Science
Utah Valley University
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