Kaitlin Clark
Leighton,AL
Summary
6+ years of experience as a pharmacy professional specializing in pharmacy benefit investigation, specialty pharmacy operations, and clinical program support. Skilled in counseling stakeholders, interpreting benefit designs, and implementing cost-saving strategies that enhance patient outcomes and client satisfaction. Recognized for establishing trust-based relationships, providing actionable recommendations, and driving successful program rollouts across multi-faceted healthcare environments.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Pharmacy Authorization Coordinator
Aetna, a CVS Health Company
05.2024 - Current
- Provide consultative guidance to prescribers, case managers, and patients on complex specialty drug coverage, prior authorization strategies, and benefit plan design matters.
- Lead comprehensive benefit research and appeals to secure therapy access while ensuring compliance with CMS, payer, and audit standards.
- Analyze payer trends and coverage data to recommend program improvements and optimize turnaround times.
- Collaborate with management to standardize authorization processes through SOPs and job aids, improving efficiency and approval rates.
- Document communications and process outcomes to ensure audit readiness and consistent client experiences.
- Remote
Certified Pharmacy Technician – Lead / Analyst Support
Huntsville Hospital
Huntsville, AL
09.2019 - 08.2024
- Served as the internal resource for high-cost or restricted medications, resolving coverage issues and advising clinical staff on benefit strategies.
- Assisted prescribers with formulary navigation, step-therapy, and coverage pathways to ensure cost-effective patient access.
- Conducted internal 340B compliance audits, mitigating risk and preparing for JCAHO and regulatory surveys.
- Provided patient education and adherence counseling to ensure clinical success and continuity of care.
- Compiled Epic utilization and workflow data to support case reviews, identify delays, and recommend operational improvements.
Certified Pharmacy Technician (Infusion)
KabaFusion
Huntsville, AL
08.2023 - 01.2024
- Directed infusion therapy onboarding by maintaining coverage, enrolling patients in financial assistance programs, and reducing out-of-pocket costs.
- Collaborated with payers, nurses, and pharmacists to create infusion schedules aligned with patient and insurance requirements.
- Verified sterile compounding and clinical records to meet Medicare, USP 797/800, and payer audit criteria.
Travel Certified Pharmacy Technician
Aya Healthcare
03.2022 - 08.2023
- Supported hospital and specialty pharmacy staff across multiple sites, adapting to new systems and payer requirements while maintaining operational accuracy.
- Resolved payer and coverage issues through liaison work between prescribers, insurers, and internal staff to ensure timely therapy approval.
- Developed process flow charts, quick reference guides, and training manuals to reduce errors and maintain standard work.
- Advised pharmacy managers on workflow optimization and benefit authorization best practices, improving program outcomes.
- Multiple Locations
Education
Pharmacy Technician Program - undefined
Calhoun Community College
01.2019
General Studies - undefined
Jefferson State Community College
01.2017
High School Diploma - undefined
Huntsville, AL01.2015
Skills
- Epic and Cerner EHR
- Microsoft Office Suite
- SharePoint expertise
- Adobe Acrobat proficiency
- Visio skills
Certification
- PTCB Certified Pharmacy Technician – #30135666 (Expires 2026-07-31)
- Alabama Pharmacy Technician License – #T58991
Core Competencies
- Pharmacy Benefit Consultation & Program Design
- Client Counseling & Stakeholder Relationship Management
- Data Analysis & Strategic Process Guidance
- Specialty Medication Access, Prior Authorizations, Appeals & Financial Support
- Training, Presentation Development, & RFP/RFI Assistance
- Regulatory Compliance (CMS, DEA, USP 797/800, 340B)
- EMR & Specialty Systems (Epic, Therigy, RTAS, Cerner)
- Workflow Optimization & SOP Standardization
Timeline
Pharmacy Authorization Coordinator
Aetna, a CVS Health Company
05.2024 - Current
Certified Pharmacy Technician (Infusion)
KabaFusion
08.2023 - 01.2024
Travel Certified Pharmacy Technician
Aya Healthcare
03.2022 - 08.2023
Certified Pharmacy Technician – Lead / Analyst Support
Huntsville Hospital
09.2019 - 08.2024
Pharmacy Technician Program - undefined
Calhoun Community College
General Studies - undefined
Jefferson State Community College