KENNEDY WOODARD
McKinney,Tx
Summary
Certified Pharmacy Technician with five years of experience in LTC, retail, and hospital pharmacy environments. Highly knowledgeable in specialty medications, traditional prescription, and OTC drugs. Specializes in prior authorizations, account management, and promoting patient adherence through clear communication, education, and follow-up. Proficient in supporting pharmacists with medication preparation, verification, and distribution, while maintaining accurate records and ensuring full compliance with regulatory standards. Dedicated to delivering safe, efficient, and high-quality pharmaceutical care in patient-focused settings.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Prior Authorization Auditor (Contract)
OptumRx
06.2024 - 03.2025
- Handled pharmacy prior authorization requests for designated provider sites, guaranteeing timely medication approval processing for members requiring review.
- Coordinated with healthcare providers (Primary Care Physicians, Specialists, Ancillary providers) to gather necessary medical documentation for prior authorization submissions
- Verified member eligibility and benefit coverage, including coordination of benefits and third-party liability, ensuring accuracy in claims
- Utilized internal and external resources to determine provider networks and evaluate prior authorization requests, ensuring all required codes and medical info were included
- Communicated with health plans, physician offices, and pharmacies to obtain and submit necessary clinical documentation for prior authorization approvals
- Educated providers and physician offices on prior authorization processes, approval requirements, and formulary guidelines
- Maintained up-to-date knowledge of health plan requirements (ICD-9, CPT codes, formularies) to ensure accurate and efficient prior authorization submissions
- Processed prior authorization requests using EPIC system, ensuring detailed documentation and compliance with department guidelines
- Collaborated with team leads and supervisors on complex cases, providing feedback for operational improvements and assisting in staff training and orientation
- Strong knowledge of specialty and retail medications used in daily practice
Escalation Pharmacy Technician
Carelon RX Pharmacy
12.2023 - 06.2024
- Provided dedicated support to pharmacy technicians, assisting with complex issues related to patient prescriptions, insurance, and account management
- Proofread and submitted prior authorizations and overrides, ensuring accuracy in coding and adherence to submission guidelines
- Ensured proper sign-off process was followed for all member cases, maintaining compliance with regulatory and company standards
- Monitored team productivity using Microsoft Excel, tracking performance metrics and identifying areas for improvement since the launch in January 2024
Certified Pharmacy Technician
Walmart Pharmacy
07.2021 - 12.2023
- Mastered drug safety and inventory accuracy with efficient medication processing and management.
- Daily patient outreach for adherence.
- Reduced safety hazards through removal of expired and recalled medicines.
- Supported pharmacists in delivering comprehensive medication guidance to patients.
- Led two pharmacy technician teams, promoting skill development with consistent training.
- Contributed to the development of high-performing teams, improving daily customer satisfaction and the overall quality of pharmaceutical services
- Oversaw daily management of at least 500 prescriptions, optimizing accuracy and promptness to reach set goals.
- Managed more than 90 customer calls daily to ensure service excellence.
- Enhanced team proficiency, ensuring pharmacy technicians were well-equipped to handle complex tasks and meet performance targets
Inpatient Pharmacy Technician Contract
UIC Hospital
10.2022 - 10.2023
- Enhanced operational efficiency by managing daily prescription processing, consistently handling 350 prescriptions
- Specialized in autologous serum eye drops, overseeing blood collection, clotting, dilution with saline, and proper storage for dispensing as per nurse requests
- Coordinated medication delivery to nurse stations, ensuring timely and accurate distribution
- Processed insurance claims and tracked inventory, maintaining smooth operations and accurate documentation
- Maintained and organized Parata machine daily, ensuring optimal performance by performing routine cleaning and refilling tasks
- Managed daily medication deliveries, ensuring efficient and accurate organization of pharmaceutical supplies
Immunizing Pharmacy Technician
CVS Pharmacy
10.2019 - 06.2021
- Improved patient care and workflow efficiency by administering COVID-19 vaccinations, contributing to public health efforts during the vaccine rollout
- Daily patient outreach for adherence.
- Streamlined prescription processing, ensuring timely and accurate handling of a minimum of 500 prescriptions daily
- Facilitated strong communication with healthcare providers and insurance companies, ensuring smooth coordination and issue resolution
- Managed a high call volume, addressing 90+ daily inquiries with professionalism and efficiency to maintain optimal service levels
- Coordinated with prescriber or pharmacist to clarify issues or problems with dosing or instructions
- Managed the daily operations of the pharmacy including receiving orders from wholesalers, stocking shelves and preparing medication for delivery or pickup
- Monitored inventory levels and maintained shelves, stocking with adequate supplies
Education
High School Diploma -
Kenwood Academy High School
Chicago, IL05.2019
Skills
- Calculations
- Business development
- Organization
- Adaptation
- Master of medical terminology
- Communication
- Member account management
- Prior authorization
- BLS (Basic Life Support)
- Working with referral sources
- Coordinating patient documentation
- Managing financial assistance programs
Certification
- National Healthcare Association Pharmacy Technician License, Q6P8A6Q2
- Illinois Board of Pharmacy License, 049273335
- Texas Board of Pharmacy License, 347412
- American Heart Association BLS, 255414587617
- Illinois Nurse Aid Registry, 12/17/24
Timeline
Prior Authorization Auditor (Contract)
OptumRx
06.2024 - 03.2025
Escalation Pharmacy Technician
Carelon RX Pharmacy
12.2023 - 06.2024
Inpatient Pharmacy Technician Contract
UIC Hospital
10.2022 - 10.2023
Certified Pharmacy Technician
Walmart Pharmacy
07.2021 - 12.2023
Immunizing Pharmacy Technician
CVS Pharmacy
10.2019 - 06.2021
High School Diploma -
Kenwood Academy High School
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