Jill Arguelles
Gilbert,AZ
Overview
18
18
years of professional experience
1
1
Certification
Work History
Strategic Account Executive
OptumRx
07.2018 - Current
- Developed strategic account plans aligning client objectives with OptumRx solutions.
- Cultivated relationships with key stakeholders to enhance customer satisfaction and retention.
- Analyzed market trends and competitor activities to identify growth opportunities for accounts.
- Cultivated relationships with key stakeholders to enhance customer satisfaction and retention.
- Create and support the implementation of strategic business plans and retention for assigned region.
- Support and participate in sales presentations and processes.
- Build relationships with clients and serve as the primary point of contact for overall and day-to-day service delivery.
- Telecommuter
Implementation Manager
OptumRx
11.2012 - 07.2018
- Manage the implementation of pharmacy benefit plans for UMR, Key and Public Sector customers.
- Validate the build process to ensure benefit plans meet customer expectations.
- Coordinate with Client Management to prioritize customer needs and effectively manage any member issues.
- Manage pre-implementation audits.
- Monitor, track and report implementation status and performance.
- Coordinate with internal departments for the creation of customer specific PDL and pharmacy networks.
- Telecommuter
Supervisor, Contact Center Services
MedImpact
09.2010 - 11.2012
- Coach and develop staff to ensure performance goals and monthly targets meet or exceed expectations.
- Observe and evaluate staff performance by providing weekly and monthly feedback.
- Interpret and communicate work procedures and company policies to staff.
- Communicate with other departments and management to resolve problems and expedite concerns.
- Organize and lead monthly staff meetings in order to ensure continuous client satisfaction.
- Effectively train customer service classes and provide feedback to Leadership on opportunities to improve training.
- Support the implementation process by researching cases for customer service related matters.
Configuration Services Coordinator II
MedImpact
04.2009 - 09.2010
- Successful completion of the PBM Operations Trainee Program, which included on the job training in pharmacy network services and benefit coding.
- Assigned to code benefits as primary coder for the self-insured line of business.
- Assisting with the design and re-implementation of commercial plans.
- Participated in weekly client meetings as a representative of the benefits coding department to proactively address client needs and provide feedback/updates to our clients.
Prior Authorization Coordinator II
MedImpact
05.2007 - 04.2009
- Participated in review, documentation and preparation of communication for prior authorization requests.
- Utilized client and company guidelines within 24-48 hours of receipt of requested dates.
- Managed the needs and requests for multiple 24-hour, performance guarantee clients.
- Performed daily excel spreadsheet analysis of prior authorization requests to assure accurate and timely completion.
- Daily communication with clients on topics related to the prior authorization process.
- Assigned to process and manage prior authorizations as a primary coder for MedImpact’s performance guarantee clients.
Education
Bachelor of Science - Business Administration
University of Wyoming
Laramie, WyomingSkills
- Customer satisfaction
- Value-based selling
- Client relationship building
- Performance tracking
- Client onboarding
- Time management
- Data-driven decision making
- Client engagement
- Upselling strategies
- Teamwork and collaboration
Certification
- Certified Pharmacy Technician
- Pharmacy Technician Certification Board (CPhT)
Timeline
Strategic Account Executive
OptumRx
07.2018 - Current
Implementation Manager
OptumRx
11.2012 - 07.2018
Supervisor, Contact Center Services
MedImpact
09.2010 - 11.2012
Configuration Services Coordinator II
MedImpact
04.2009 - 09.2010
Prior Authorization Coordinator II
MedImpact
05.2007 - 04.2009
Bachelor of Science - Business Administration
University of Wyoming