HUMBERTO GARCIA JR
Eastvale,CA
Summary
Respectful self-motivator gifted Analyst at finding reliable solutions for client request. Excels at prioritizing and managing multiple projects simultaneously. Experienced Data Analysis and offering skills in Research and Organizational Effectiveness. Veteran Pharmacy Technician with expertise in all facets of pharmacy operations and proven record of success in expeditiously filling prescription orders. Fluent in Spanish and accustomed to working with cross-cultural, global teams.
Overview
12
12
years of professional experience
Work History
Senior Testing and Validation Analyst
MedImpact Healthcare Systems Inc.
San Diego, CA
09.2020 - Current
- Tests functional and compatibility of new coding or updates in comparison to existing coding.
- Develops quality assurance testing strategies and quality assurance testing specifications to validate business requirements
- Partner with Implementation and Client Team Members to support testing and validation requests for new product and plan implementations
- Prioritize project tasks and provide status updates on project progress
- Uses developed SQL queries to research, gather data and identify solutions
- Determines accuracy of adjudication configurations and approves data changes from test environment to production
- Utilized Agile software development methods to increase team efficiency by 85%
Configuration Analyst
MedImpact Healthcare Systems Inc.
San Diego, CA
11.2019 - 09.2020
- Configure and test client specific request in Quality Staging Platform software in order to validate coding
- Works on implementing, managing and maintaining clients' book of business through facilitations of discussions with both internal and external teams
- Leads internal and external calls with multiple departments to meet client specific request
- Maintains health insurance coverage of over 1 million lives through benefits, formulary and pharmacy network management
- Helps onboard and train new employees on systems, process and applications
- Maintains collaborative relationship with each client, participating in regularly scheduled implementation calls to understand client business objectives and gather design requirements
- Applied knowledge of application components in conjunction with query tools to achieve business objectives
Configuration Specialist
MedImpact Healthcare Systems Inc.
San Diego, CA
01.2018 - 11.2019
- Applied pharmacy, formulary and benefit configuration to effectuate change as specified in submitted change request
- Troubleshoots and performs research on basic claims adjudication issues or inquiries
- Reviewed results of in-unit testing in order to validate new plan configuration through Quality Staging Platform coding software
- Assisted in creating and maintaining documentation of clients' plans designs, detailing any custom maintenance processes and configuration best practices
- Utilizes project planning, prioritizing and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy
Pharmacy Technician
RITE AID CORPORATION
Menifee, California
07.2012 - 01.2018
- Communicated directly with doctors' offices via telephone, fax and email
- Worked closely with pharmacists and used medication input software to safely and accurately dispense medication
- Verified patient data and billing information
- Verified accuracy and completeness of information on prescription and refill requests
- Regularly completed paperwork and entered prescription and insurance billing information into patient profiles
- Promptly referred all doctors' calls and customers' medical questions to pharmacist on duty
- Coordinated verification and filling of more than 250 daily prescriptions in high-volume retail pharmacy environment
Health Services Student Worker
MIRACOSTA COMMUNITY COLLEGE
Oceanside, California
07.2011 - 09.2013
- Offered quality clerical support to department personnel.
- Managed supplies, processed new orders and maintained inventory organization for team.
- Greeted incoming office visitors, answered questions and directed individuals to office locations.
- Completed clerical tasks such as filing, copying and distributing mail.
- Took and followed detailed directions from others.
- Handled 25 calls per day to address customer inquiries and concerns
Education
BACHELOR OF ARTS - Psychology
California State University
Fullerton, California2017
ASSOCIATE OF ARTS - Psychology
MiraCosta Community College
Oceanside, California2014
Skills
- Ability to gather Business Requirements and Clients Specifications
- Ability to Positively and effectively Interact with Clients, Internal Customers and Peers
- Advance knowledge with MS Office / Word, PowerPoint, Outlook and Excel
- SQL
- Salesforce Experience
- Project Management
- Time Management
- Collaborative Team Player
- Highly Flexible and Adaptable
- Strong Problem Solver
Timeline
Senior Testing and Validation Analyst
MedImpact Healthcare Systems Inc.
09.2020 - Current
Configuration Analyst
MedImpact Healthcare Systems Inc.
11.2019 - 09.2020
Configuration Specialist
MedImpact Healthcare Systems Inc.
01.2018 - 11.2019
Pharmacy Technician
RITE AID CORPORATION
07.2012 - 01.2018
Health Services Student Worker
MIRACOSTA COMMUNITY COLLEGE
07.2011 - 09.2013
BACHELOR OF ARTS - Psychology
California State University
ASSOCIATE OF ARTS - Psychology
MiraCosta Community College