Katrina Silva
Gilbert ,AZ
Summary
Forward-thinking individual bringing 14 years of expertise in Pharmacy, Specialty Care Options and Pathwell for optimal healthcare. Cultivates rapport with individuals, employees and facilities to optimize project goals and output, and resolve complex case problems. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Leads in being able to apply leadership directives, pilot programs, and well organized techniques to help create and improve a high-performance team while keeping integrity of health, well-being and security for customers.
Overview
14
14
years of professional experience
Work History
Intake Lead Rep - Care Coordination Lead
Cigna
04.2020 - Current
- Complex case management working with Specialty Care Options and Pathwell.
- Trained in Specialty Medical Reimbursement process - Single Case Agreements.
- Maintain workload of 30-100 Cases with Case Managers (3) and provide accurate and desired redirection result in efficient manner resulting in large savings and customer satisfaction for Specialty Care Options & Pathwell.
- Selected on consistent basis to participate in pilot programs to provide feedback based off knowledge within company from hire.
- Streamlined operations for increased efficiency by implementing new processes and procedures.
Care Associate
Cigna
02.2018 - 04.2020
- Locating and building cases for redirection to alternate infusion sites for annual savings for infusion medications.
- Transitioning case work to case manager for redirection which consisted of 4-5 cases per day.
- Locating, building in system and verifying viable infusion sites based off customer needs and customer plan.
- Working through diverse and complex work environment to aid in cost savings for patient and company.
- Drive to investigate deeply into cases for largest gain in company capital.
- Manage approximately 25 incoming and outgoing calls, and emails for case resolution.
Lead Pharmacy Technician
Cigna
03.2011 - 02.2018
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Implemented new technologies within pharmacy workflow, increasing overall efficiency and accuracy in daily tasks.
- Promoted teamwork among pharmacy staff, fostering collaborative environment for improved productivity.
Inpatient Certified Pharmacy Technician
Banner Desert Medical Center
04.2010 - 02.2011
- Assured quality control measures were met during compounding procedures for specialty items such as total parenteral nutrition solutions and chemotherapy preparations.
- Streamlined pharmacy operations by maintaining organized and efficient work environment.
- Supported pharmacists in providing drug information to healthcare professionals, contributing to informed decision-making processes.
Education
Bachelor of Science - Public Health
Northern Arizona University
Flagstaff, AZ05.2025
Certificate Program - Business Management
Yale School of Management Executive Education
ONLINE 08.2024
Associate of Science - Public Health
Maricopa Community Colleges - Mesa Community College
Mesa, AZ05.2018
Associate of Applied Science - General Studies
Maricopa Community Colleges - Mesa Community College
Mesa, AZ05.2018
High School Diploma -
Corona Del Sol High School
Tempe, AZ05.2007
Skills
- Training New Hires
- Case Quality
- Development of Job Aids
- Quality Assurance
- Provide Feedback
- Key player in projects and initiatives
- Multitasking
- Excellent Communication
- Elite Organizations skills
- Identify trends easily
- Critical Thinking
- Problem-Solving
- Efficient
- Positive Outlook
- Teamwork and Collaboration
QUALIFICATIONS
- Proven data entry skills
- Customer an Claim experience
- use of multiple systems and platforms
- Microsoft Office, Excel, creating pivot tables
- Knowledge of Savings
- Knowledge of Single Case Agreements
- Knowledge of Buy and Bill Restriction
- Knowledge of COC case work
- Knowledge of OnePA , ICMS, TrueCare, Proclaim, PaHub, & Evicore
Timeline
Intake Lead Rep - Care Coordination Lead
Cigna
04.2020 - Current
Care Associate
Cigna
02.2018 - 04.2020
Lead Pharmacy Technician
Cigna
03.2011 - 02.2018
Inpatient Certified Pharmacy Technician
Banner Desert Medical Center
04.2010 - 02.2011
Bachelor of Science - Public Health
Northern Arizona University
Certificate Program - Business Management
Yale School of Management Executive Education
Associate of Science - Public Health
Maricopa Community Colleges - Mesa Community College
Associate of Applied Science - General Studies
Maricopa Community Colleges - Mesa Community College
High School Diploma -
Corona Del Sol High School
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