Results-driven healthcare and sales professional with experience in Medicare escalations, prior authorization processing, and outbound sales. Skilled at resolving complex member and provider issues, ensuring regulatory compliance, and delivering exceptional customer service. Demonstrated expertise in Medicare Advantage and Part D guidelines, pharmacy benefit management, and clinical case review, as well as sales strategy, lead generation, and closing new accounts. Proficient in CRM and PBM systems including Salesforce, RxCLAIM, MedAccess, QNXT, and Microsoft Office Suite. Known for strong problem-solving, communication, and process improvement skills, consistently achieving quality, productivity, and performance targets.