Summary
Overview
Work History
Education
Skills
Websites
Certification
Languages
Specialities
Timeline
Generic

Kaius Holland

Mount Pleasant

Summary

Developed strong interpersonal and communication skills in healthcare environment, excelling in patient support and advocacy. Demonstrated ability to navigate complex healthcare systems and resolve issues effectively. Seeking to transition into new field, bringing valuable transferrable skills and commitment to positive outcomes.

Personable and dedicated with keen eye for detail and proactive approach. Possesses foundational knowledge in pharmaceutical terminology and drug interactions, along with excellent organizational and data entry skills. Committed to ensuring accurate medication dispensing and enhancing patient care.

Overview

3
3
years of professional experience
1
1
Certification

Work History

Patient Advocate

Shields Health Solutions
06.2025 - 07.2025
  • Accountable for coordinating pharmacy patient care by working closely with pharmacists, healthcare providers, insurance representatives, and patients. Ensured prompt and accurate resolution of medication and insurance inquiries while providing ongoing support to patients throughout their medication therapy.
  • Coordinated collaborative efforts among pharmacists, healthcare providers, and support staff to ensure seamless medication management and comprehensive patient care, resulting in improved therapeutic outcomes.
  • Spearheaded quality improvement initiatives within pharmacy operations to enhance prescription accuracy, reduce medication errors, and elevate overall patient satisfaction.
  • Effectively handled and resolved patient concerns related to medication therapy, insurance coverage, and pharmacy services by utilizing active listening, empathy, and problem-solving techniques.
  • Guided patients through complex pharmacy insurance processes, including prior authorizations, formulary navigation, and benefit clarifications, to maximize medication accessibility and affordability.
  • Provided personalized support and education to patients regarding medication adherence, potential side effects, and health management practices to empower informed decisions and optimize treatment efficacy.
  • Collaborated with healthcare teams to identify and address barriers to medication access, ensuring patients receive timely and appropriate pharmaceutical care.

Certified Pharmacy Technician

Priority Health
01.2025 - 05.2025
  • Responsible for handling inbound calls from pharmacists, doctors, insurance and customers. As well as ensuring that all inquiries were completed in a timely and correct matter.
  • Provided information to patients about their medications, as well as answering questions and resolving concerns and assisting with payment or insurance issues.
  • Collaborated with pharmacists to verify medication information and resolve discrepancies, as well as communicating with doctors to maintain patient profile.
  • Implemented quality control measures to ensure compliance with regulatory standards for medication safety as well as ensuring compliance with HIPAA regulations to protect the personal and medical PHI of millions of individuals.
  • Interpret clinical notes, lab results, diagnoses, PA language, medical jargon, and technical errors, and rework to member-based applicability as well as enter, edit, verify and occasionally fix PA workups performed for approval through professionally certified clinical pharmacists.
  • Communicated with insurance companies to obtain prior authorizations for speciality medications, as well as helping with the mail-order pharmacy system.
  • Reduced medication errors by implementing a double-check system resulting in a 20% decrease in incidents, processed an average of 30 prescriptions per hour while maintaining accuracy levels above 96%.
  • Operated within a team through use of various networking channels and communications systems as well as navigating between multiple systems at once and multitask with several tabs, windows and systems.

Pharmacy Benefits Manager

Prime Therapeutics
04.2024 - 12.2024
  • Responsible for helping with clinical prior authorizations as well as maintaining mail order services and communicating with pharmacies to manage prescription drug benefits.
  • Managed prescription drug benefits for insurers, Medicare Part D plans, large employers and other clients, as well as acting as an intermediary between the drug manufacturer, pharmacies and insurers.
  • Created and updated drug formularies to ensure accuracy, as well as negotiating with drug manufacturers to secure discounts and rebates, which directly impacted the price that clients were paying for their medication.
  • Assisted with helping clients to get their medications through the mail-order pharmacy line, to ensure customers had access to their medications at all times with as little delay as possible.
  • Process prior authorization claims and make edits to ensure accuracy of pre-existing prior authorizations when needed, as well as process claims and ensure their delivery to pharmacists, doctors and insurers.
  • Managed through different systems, tabs and browsers, as well as collaborating with a team and supervisors to ensure department wide goals were met.

Certified Pharmacy Technician

Meijer
11.2022 - 03.2024
  • Responsible for processing more than 50 prescriptions a day, ensuring accuracy every time, as well as handling inbound calls from customers about their medication.
  • Processed up to 100 scripts per hour, maintaining accuracy of information, as well as maintaining confidentiality per HIPAA guidelines to ensure confidentiality.
  • Maintained accurate records of medications as well as collecting insurance and other information necessary from customers that were necessary for medication distribution.
  • Provided information to customers about medication dosages, instructions for administration, as well as potential side effects.
  • Entered and processed medication orders, including verifying eligibility and processing the claims with insurance companies to ensure medication coverage for the member as well as identifying and resolving issues related to prescription orders, such as errors in shipment or fulfillment.
  • Utilized telecommunication platforms and virtual collaboration tools to effectively perform duties, as well as to assist other team members with possible inquiries.

Education

High School Diploma - General Education

Hudsonville High School
Hudsonville, MI
05.2021

Bachelor of Arts - Healthcare Administration

Purdue University Global
Mount Pleasant, MI
06.2026

Skills

  • Patient rights
  • Proactive problem-solving
  • Organized nature
  • Resource utilization
  • Quality assurance
  • Healthcare navigation
  • Relationship building
  • Computer savvy
  • Medicaid
  • Medical billing
  • Customer service
  • HIPAA compliance
  • Electronic health records

Websites

Certification

Certified Pharmacy Technician (Exp 08/2027), National Pharmacy Technician Certification (Expected by Nov. 2025)

Languages

English (native)

Specialities

Infectious Diseases (Influenza, HIV), Food-Borne Illnesses, Hepatitis C, Multiple Sclerosis, Diabetes, Oncology, Cardiovascular Diseases, Respiratory Conditions, Pain Management & Opioid Monitoring, Mental Health Medications

Timeline

Patient Advocate

Shields Health Solutions
06.2025 - 07.2025

Certified Pharmacy Technician

Priority Health
01.2025 - 05.2025

Pharmacy Benefits Manager

Prime Therapeutics
04.2024 - 12.2024

Certified Pharmacy Technician

Meijer
11.2022 - 03.2024

High School Diploma - General Education

Hudsonville High School

Bachelor of Arts - Healthcare Administration

Purdue University Global

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