HEATHER WALTASTI
Woodridge,IL
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
18
18
years of professional experience
Work History
Pharmacy Configuration Specialist I
RxBenefits
Birmingham, AL
08.2023 - Current
- Participates in multiple client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented
- Serves as the configuration expert on the following projects: new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and various benefit change requests
- Works with internal stakeholders and PBM partners to configure and input the benefit as defined by the Pharmacy Design Consultant
- Responsible for the end-to-end execution and communication related to minor/routine benefit changes
- Completes the first level review of the data gathering process for new client implementations which includes: initial review of incumbent plan documents and data input into the necessary systems
- Attends internal calls as needed to support issue resolution
- Completes and/or create configuration documents (PBC, PBM specific docs, etc.)
- Prepares and generates member communication material
- Applies working knowledge of RxBenefits and PBM products/features to support incoming work requests
- Works with internal/external teams to successfully execute the assigned tasks (PBM partners, Data Integration, Data Operations, Mail Room, Quality, Operations Excellence)
- Tracks and logs defined tasks and deliverables within Clarizen
- Completes work in production-based environment that is measured against timeliness and accuracy
- Appropriately supports the risk management team and the Client Command Center process
- Meet KPI goals as defined by Operations leadership and department
Baker
OWNER AT KETO WITH HEATHER LLC
03.2020 - Current
- Established merchandising, sales and profit objectives to drive business success.
- Baked gluten-free, vegan and alternative diet treats based on customers' needs.
- Managed inventory, labor, expenses and other operational processes.
TEACHERS AIDE
VALLEY VIEW 365U
08.2018 - 06.2019
- Assisted students who have an IEP and fill out documentation when necessary
- Supported student learning objectives through personalized and small group assistance.
- Promoted physical, mental and social development using classroom games and activities.
Pharmacy Benefits Manager-Email Team
OptumRx
11.2016 - 06.2018
- Resolve customer and client issues and requests by communicating via email
- Research to resolve escalated complaints via callbacks
Pharmacy Benefits Manager
OptumRx
08.2016 - 06.2018
- Assist customers with pharmacy benefit questions as well as placing mail order requests for medication
- Operate different IT systems depending on client or customer to resolve claim issues
Certified Pharmacy Technician
Osco Pharmacy
07.2015 - 08.2016
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Communicated directly with doctors offices via telephone, fax, and email.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
NANNY
05.2015 - 06.2015
- Provided in home care for three children ages 3-7
- Organized acitvites, meals, homework time, etc
- Ensured time managment by getting children to school and extra curricular activies on time
- Adapted to different needs each child had and develop ways to meet them
- Prepared meals, helped with laundry, dishes, etc.
Pharmacy Technician
CVS Pharmacy
08.2006 - 05.2014
- Stocked, labeled and inventoried medication to keep accurate records.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Supervised 6-10 pharmacy technicians and coordinated day-to-day assignments.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Produced monthly financial reports like income statements, balance sheets and cash flow statements for presentation to corporate.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
Education
Associates - Human Resource Management
AMERICAN PUBLIC
UNIVERSITY
02.2020
Skills
- Benefits and Compensation Management
- Benefits Programs
- Compensation and Benefits
- Company Organization
- Training and Development
- Mentoring
- Problem-Solving Skills
- Staff Development
- Stakeholder Communication
- Incident Management
- Requirements Analysis
Timeline
Pharmacy Configuration Specialist I
RxBenefits
08.2023 - Current
Baker
OWNER AT KETO WITH HEATHER LLC
03.2020 - Current
TEACHERS AIDE
VALLEY VIEW 365U
08.2018 - 06.2019
Pharmacy Benefits Manager-Email Team
OptumRx
11.2016 - 06.2018
Pharmacy Benefits Manager
OptumRx
08.2016 - 06.2018
Certified Pharmacy Technician
Osco Pharmacy
07.2015 - 08.2016
NANNY
05.2015 - 06.2015
Pharmacy Technician
CVS Pharmacy
08.2006 - 05.2014
Associates - Human Resource Management
AMERICAN PUBLIC
UNIVERSITY