Justine Boccia
Valley Stream,NY
Summary
Dynamic clinical pharmacy leader with proven success at HealthCare Partners Medical Group, driving STAR quality initiatives that achieved a 4-star rating. Expert in medication management and relationship building, leveraging analytical skills to enhance patient outcomes and foster interdisciplinary collaboration. Committed to innovative solutions and performance tracking in population health.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Lead Clinical Pharmacist-Pharmacy/Quality Improvement Specialist
HealthCare Partners Medical Group
Garden City, NY
01.2024 - Current
- Led process improvement initiatives and strategic support to drive STAR quality improvement, which led to a 4-star rating for adherence measures, and 4- and 5-star ratings for quality measures.
- Led efforts to address medication adherence gaps, statin use in diabetics, statin use in cardiovascular disease patients, A1c optimization in Medicare populations, and other STAR/HEDIS measures.
- Fostered strong relationships with interdisciplinary team members, including medical directors, clinical leadership teams, provider engagement teams, and health plan leaders, through regular communications and face-to-face interactions.
- Performed thorough medication reconciliation post-discharge plans, offering recommendations to providers and members with chronic conditions, to optimize drug therapy.
- Created a pharmacist led transition of care program
- Lead a company wide text campaign to our members with Artera
- Leveraged data analytics and tools to identify health improvement opportunities for patients.
- Supported the VP of Clinical Pharmacy and Quality to improve outcomes in our population health organization.
- Tracked and analyzed data to ensure the team stays on target to meet organizational goals.
- Serve as a clinical resource to other team members with less experience, often motivating them to deliver high-performance results, and promoting a collaborative and positive work environment.
- Recognized for exceeding quality and productivity benchmarks while maintaining a patient-first approach in clinical consultations.
- Reviewed Part B drug authorizations, primarily oncology and specialty drugs. Evaluated for the appropriate site of service, and promoted the use of biosimilars when appropriate.
Clinical Pharmacist
Healthfirst
New York, United States
03.2022 - 10.2023
- Responsible for identifying and resolving medication adherence barriers with members for behavioral health, statin and diabetic therapies
- Drove strategy and implemented quality initiatives across the HARP, Medicaid, Essential plan and Medicare lines of business for NCQA, HEDIS and STAR quality measures
- Provider outreach for therapeutic recommendations, and patient care plans (therapies, follow up appointments and refills)
- Conducted member and provider outreach to help lower A1C by optimizing medication regimens and counseling on medication adherence
- Worked with population health to align goals and implement strategies to meet targets
- Supported collaboration with behavioral health care management team to improve the ability to support members and provide optimal care, often by alleviating any SDOH issues that might be interrupting patient care
- Provided pharmacotherapy related expertise to nurse case managers as needed, including safe, more effective alternatives and cost saving options
- Presented a report on trend analysis for behavioral health medication utilization on a quarterly basis to our medical directors and other clinical staff
- Contact: Helen Kourlas HKourlas@healthfirst.org
Staff Pharmacist
Truepill
Brooklyn, United States
10.2019 - 03.2022
- Company Overview: Truepill is a business to business pharmacy fulfillment company that works with direct to consumer digital health companies and organizations
- Medication utilization review for telemedicine companies such as Cerebral, K Health, Ahead, Folx, Nurx, HIMS & Therapeutics which focus on behavioral health, reproductive health, Targeted mens health, PrEP, hormone replacement & diabetic therapies
- Assisted in the training and workflow management of over 10 pharmacists, 30 technicians & supportive staff to deliver peak performance in a high volume pharmacy
- Provided patient consultation to educate patients on potential side effects, contraindications and the importance of adherence to medications
- Collaborated with interdepartmental teams such as customer service agents, engineers, IT & other pharmacy personnel for daily workflow
- Assisted in obtaining and maintenance of URAC accreditation
- Assisted in the development and testing of a company created pharmacy software platform
- Coordinated delivery of medications and products to patients (mail-order)
- Truepill is a business to business pharmacy fulfillment company that works with direct to consumer digital health companies and organizations
- Contact: Michelle Meyer Michelle.meyer@truepill.com
Pharmacist in charge
Emblem Health
New York, United States
01.2014 - 11.2018
- Company Overview: Emblem Health pharmacy located within the Advantage Care Physician medical practices
- Assisted providers in initiating and completing prior authorizations based on clinical rationale and regulatory guidance
- Developed a refill list and medication delivery program in order to improve adherence & compliance
- This led to an increase in STAR rating from 2 stars to 5 stars and a 3 fold in prescription volume
- Completed MTM to our Medicare members as required by CMS
- Conducted outreach to providers for gaps in care in our diabetic patients who were missing ACEi/ARB therapy
- Provided clinical recommendations to providers while considering Emblem formulary to ensure best therapy for our members and ensuring cost savings
- Medication reconciliation post discharge
- Created a policy for HIV exposure for providers/medical staff and coordinated the distribution of medications to each site
- Also, facilitated the distribution of influenza vaccine to assist with the Emblem flu campaigns
- Preceptor for St.John's University and Touro University pharmacy students
- Emblem Health pharmacy located within the Advantage Care Physician medical practices
- Contact: Victor Sone victorsone@gmail.com
Pharmacist in charge
CVS pharmacy
Astoria, United States
05.2009 - 01.2014
- Provided clinical review and dispensed medications from physician orders
- Created monthly action plans for improvement of pharmacy metrics
- Coordinated staff training and development
- Counseled patients on medication therapies
- Monitored patient compliance and adherence
- Administered vaccines
Education
Doctor of Pharmacy -
St. John's University
Queens, NY05.2009
Skills
- Problem solving
- Collaboration
- Strategizing
- Analytical
- Clinical interventions
- Relationship building
- Integrity
- Utilization review
- Formulary management
- Effective communication
- Trend analysis
- Attention to detail
- Developing innovative solutions
- Telephonic consultations
- Clinical documentation
- Clinical knowledge
- Counseling
- Medication adherence
- Medication management
- Quality improvement
- Performance tracking
- Interdisciplinary collaboration
- Provider outreach
- Workflow management
- Task delegation
Certification
- New York State Pharmacist, 054058, 05/01/09, Present
- Immunization License, 05/01/09, Present
- CPR/AED/Basic life support, 11/01/18, Present
Languages
- ENGLISH, Native or Bilingual Proficiency
- ITALIAN, Limited Working Proficiency
Degree
Pharm. D
Languages
English
Native/ Bilingual
Italian
Professional
References
References available upon request.
Timeline
Lead Clinical Pharmacist-Pharmacy/Quality Improvement Specialist
HealthCare Partners Medical Group
01.2024 - Current
Clinical Pharmacist
Healthfirst
03.2022 - 10.2023
Staff Pharmacist
Truepill
10.2019 - 03.2022
Pharmacist in charge
Emblem Health
01.2014 - 11.2018
Pharmacist in charge
CVS pharmacy
05.2009 - 01.2014
Doctor of Pharmacy -
St. John's University
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