Genica Proctor-Sutton
Summary
Seasoned Clinical Pharmacist adept at providing evidence-based recommendations to physicians. Proficient in reporting, documentation and compliance guidelines. Focused on maintaining current knowledge of therapeutic options.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Clinical Pharmacist Specialty medical injectable
UnitedHealth Group
01.2014 - Current
- Community & State (Medicaid) Prior Authorization- Collaborate with health professionals to provide a comprehensive clinical review which may include formulary alternatives when appropriate, evidence-based literature, clinical guidelines, and plan benefits to provide drug and prior authorization information
- Employee and Individual coverage (E&I) Prior Authorization- Reviewed prior authorization cases and rendered coverage determinations based on plan design and clinical guidelines
- Medicare Prior Authorization- Spear headed and executed new pharmacist adverse determination process
- Collaborated with upper management to provide training materials for future pharmacist programs
Drug Utilization Review (DUR)/Consultant Pharmacist
OptumRx
01.2012 - 01.2014
- Expedited complex drug interactions including calling physicians, counseling patients, compiling concise faxes, and verifying mail order prescriptions
- Also served as a Clinical pharmacist on Medication Therapy Management (MTM) project that increased patient's medication adherence
- Provided training and expertise for 20 new Pharmacist on IRIS operating system
- Changed policies and procedures at the company that allowed Pharmacist to navigate and fill extra prescriptions hourly
- Recognized for developing and leading a daily huddle for 60 other Pharmacists
- Created great team rapport by reviewing best practice and performance measures for daily activities
Staff /Overnight Pharmacist
CVS/Pharmacy
01.2004 - 01.2012
- Managed 6-8 pharmacy personnel and administered flu shots to patients while prioritizing the proper verifying, filling, and counseling on medication
- Trained four new overnight pharmacists in Inglewood CA
- To transition from Sav-On Drugs to the new CVS/Pharmacy software system
- Redesigned workflow modified and re-billed numerous insurance claims, improved patient satisfaction and increased sales by 20 percent
- Enhanced workflow within pharmacy leading to shorter wait times for patients, improved satisfaction, and approval ratings by 10 percent with customer service
- Recognized for inventory management which yielded company high profit sales on shelved medications
Contract Pharmacist
Bryan Women's Federal Prison
01.2007 - 01.2009
- Advised physicians and other health practitioners on the selection, dosage, interactions, and side effects of medications
- Dispensed prescribed medication, cart-fill, and patient consultations
- Created a positive change in the formulary preventing further excessive usage and decreased cost
Part-time Remote Order Entry Pharmacist
Cardinal Health
01.2007 - 12.2007
- Accountable for inpatient hospital order entry and prescription verification for three dispensing systems
- Provided information to hospital staff regarding IV drug interactions, side effects, renal dosage adjustments, and proper medication storage
Education
Doctor of Pharmacy -
Xavier University of Louisiana
New Orleans, LA05.2004
Skills
- Clinical documentation
- Patient care optimization
- Drug utilization review
- P2P reviews
Certification
- Texas Licensed Pharmacist, #43147
- ACPE Accredited Sterile Products Preparation
- Colorado Licensed Pharmacist, #17190
- APhA Pharmacy Based Immunization Delivery
- Georgia Licensed Pharmacist, #022283
- TX Pharmacist Preceptor
- Florida Licensed Pharmacist, #52499
- Louisiana Licensed Pharmacist, #023832
Personal Information
Title: Pharm.D.
Timeline
Clinical Pharmacist Specialty medical injectable
UnitedHealth Group
01.2014 - Current
Drug Utilization Review (DUR)/Consultant Pharmacist
OptumRx
01.2012 - 01.2014
Contract Pharmacist
Bryan Women's Federal Prison
01.2007 - 01.2009
Part-time Remote Order Entry Pharmacist
Cardinal Health
01.2007 - 12.2007
Staff /Overnight Pharmacist
CVS/Pharmacy
01.2004 - 01.2012
Doctor of Pharmacy -
Xavier University of Louisiana
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