HARIS TASO
Mckinney,United States
Summary
Experienced data and analytics professional with over 3 years of expertise in predictive analytics, data visualization, and process improvement in the healthcare industry. Leveraging 6 years of pharmacy experience, possesses a deep understanding of medication management, patient care, and regulatory compliance. Skilled in problem-solving, database management, and strategic planning, consistently optimizes resources and enhances compliance. Exceptional communication and collaboration skills have been recognized, allowing effective work within dynamic healthcare teams. Dedicated to pioneering innovative solutions that bridge clinical expertise with data-driven insights to improve patient outcomes.
Overview
11
11
years of professional experience
Work History
Prior Authorization Manager
Alto Pharmacy
05.2019 - 07.2022
- Led data analysis of authorization requests and patient demographics, identifying trends to improve approval rates
- Developed predictive models for authorization likelihood, prioritizing high-risk cases and reducing processing times
- Monitored adherence to guidelines, identifying compliance issues and implementing corrective actions to minimize denials
- Verified eligibility and compliance for service providers, ensuring efficient authorization processes
- Coordinated with physicians and insurers to streamline referral submissions, enhancing overall healthcare delivery
- Analyzed prior authorization data to identify trends, developed predictive models, and optimized resource allocation, enhancing patient access to medications
- Led team of 8, streamlining authorization processes, reducing processing times, and improving compliance with payer guidelines for better medication access
- Resolved complex issues including third-party billing and system errors, enhancing customer service
- Analyzed prescription claims data to identify and correct billing errors, maximizing pharmacy revenue
- Created data-driven reports on pharmacy performance, aiding in process improvements and decision-making
- Partnered with healthcare providers to optimize medication regimens, enhancing patient safety and adherence through comprehensive medication history analysis
- Leveraged data visualization tools to create impactful reports on pharmacy metrics, driving process improvements and informed decision-making
Lead Pharmacy Technician
Kroger Pharmacy
08.2014 - 05.2019
- Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of best placement for needed resources.
- Produced monthly reports using advanced Excel spreadsheet functions.
- Created dashboards to monitor and track key performance indicators.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Verified eligibility and compliance with authorization requirements for service providers.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
5th Grade Math and Science Teacher
Garland ISD
08.2022 - Current
- Adapted teaching methods and instructional strategies to promote learning in students of differing skill levels
- Monitored student performance, offering constructive feedback and additional aid to struggling students
- Utilized data analysis techniques to assess student performance, track progress toward learning objectives, and differentiate instruction to meet individual student needs, resulting in improved student outcomes and engagement
- Collaborated with colleagues to analyze student assessment data, identify curriculum gaps, and develop data-driven interventions to support struggling students and enhance overall instructional effectiveness
- Leveraged data analysis to tailor instruction, improving student outcomes and enhancing engagement in math and science concepts
- Pioneered adaptive teaching methods to accommodate diverse skill levels, fostering a more inclusive and effective learning environment
Education
Masters - Data Anayltics
University of North Texas
Denton, TX05-2025
Bachelor's of Science - Kinesiology for Allied Health Professionals
University of North Texas
Denton, TX05.2020
Associates of Science - Science Education
Collin County Community College District
McKinney, TX05.2016
Skills
- Data Analysis & Visualization: Power BI, Tableau, SAS, R, Excel
- Statistical Modeling: Predictive Analytics, Regression Analysis
- Database Management: Data Warehousing, Operational Efficiency: Workflow automation, process optimization
- Operational Efficiency: Workflow automation, process optimization
- Collaboration & Leadership: Stakeholder engagement, cross-functional teamwork
- Pharmacy & Managed Care Expertise: Prior authorizations, insurance verification, compliance
- Collaboration & Leadership: Stakeholder engagement, cross-functional teamwork
- Business Intelligence: Dashboards, KPIs, storytelling
- Pharmacy & Managed Care Expertise: Prior authorizations, insurance verification, compliance
Timeline
5th Grade Math and Science Teacher
Garland ISD
08.2022 - Current
Prior Authorization Manager
Alto Pharmacy
05.2019 - 07.2022
Lead Pharmacy Technician
Kroger Pharmacy
08.2014 - 05.2019
Bachelor's of Science - Kinesiology for Allied Health Professionals
University of North Texas
Associates of Science - Science Education
Collin County Community College District
Masters - Data Anayltics
University of North Texas
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