Results-oriented professional with 11 years of progressive experience in the pharmaceutical industry. Skilled in pharmacy training, program management, and reimbursement strategies. Proven track record of optimizing operations, enhancing training programs, and driving revenue growth. Adept at building strong relationships with stakeholders and leading cross-functional teams to achieve organizational goals. Talented professional considered knowledgeable leader and dedicated problem solver. Brings 11 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.
Hi, I’m
Khyati Patel
Raleigh,NC
Summary
Overview
10
years of professional experience
1
Certification
Work History
MercalisMorrisville
Pharmacy HUB Program Manager/ Field Reimbursement Manager
08.2019 - Current
Job overview
- Spearhead strategic client account management, ensuring exceptional copay program management and operational excellence for assigned pharmaceutical clients.
- Improved program efficiency by streamlining processes and implementing time-saving solutions.
- Managed cross-functional teams for successful project completion within deadlines and budgets.
- Enhanced project visibility with regular status updates, leading to increased stakeholder engagement.
- Developed strategic plans, setting clear objectives and achievable milestones for team.
- Managed multiple strategic projects with numerous sub-projects or workstreams.
- Developed and maintained logistics workflows, procedures and reports.
- Identified program obstacles and communicated possible impacts to team.
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
- Established team priorities, maintained schedules and monitored performance.
- Designed and developed programs and projects for dissemination to personnel.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
- Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
- Increased efficiency in reimbursement process by implementing streamlined procedures and guidelines.
- Managed book of business totaling $2,000,000 in accounts receivable, applying insurance expertise and exemplary customer service.
Blue Cross Blue Shield of North CarolinaDurham
Membership Professional
07.2017 - 08.2019
Job overview
- Manage medium and large group accounts, serving as primary point of contact for client inquiries and support.
- Educated prospective members on benefits of joining organization, resulting in increased conversion rates.
- Proactively managed client correspondence and recorded tracking and communications.
- Developed strong relationships with local businesses to create mutually beneficial partnerships that drove new memberships.
- Managed membership database efficiently, ensuring accurate data entry and timely updates for member records.
- Used CRM software to record customer interactions and track general sales activities for review and follow-up.
- Supported existing members with their account-related queries which resulted in improved member satisfaction.
- Diligently trained all staff employees to be welcoming and helpful to members, which increased overall service expectations.
- Increased customer acquisitions by 20% through effective social media management, grassroots marketing, and new member orientation.
McKessonCary
Patient Benefits Specialist
06.2016 - 07.2017
Job overview
- Verify insurance coverage and benefits for patients, ensuring accurate billing and reimbursement processes.
- Established positive rapport with patients during encounters while maintaining strict confidentiality standards as required under HIPAA regulations.
- Resolved problems, improved operations and provided exceptional service.
- Demonstrated leadership skills in managing projects from concept to completion.
- Demonstrated creativity and resourcefulness through development of innovative solutions.
CVS Specialty PharmacyRaleigh
Pharmacy Training Specialist
04.2014 - 05.2016
Job overview
- Developed and delivered training programs for pharmacy staff on new products, procedures, and compliance requirements.
- Trained and mentored over 350 new personnel hired to fulfill various roles.
- Used various learning suites to implement over 50new e-learning and American Language Courses.
- Identified workers with specific skill sets to recommend for promotions or raises, increasing internal hiring 30%.
- Used LMS to design training for 1000 employees and increase company retention and productivity rates 80%.
Education
Elk Grove High SchoolElk Grove Village, IL
High School Diploma
01.2020
University Overview
Skills
- Superior Analytical Skills
- Leadership and Team building
- Communication
- Influencing and Negotiating
- Conflict Resolution
- Stakeholder Management
- Planning and Resource Management
Certification
- Project Management Professional (PMP)
- Blue Cross Blue Shield of North Carolina Certification in Group Benefits Management
- Customer Service Excellence Training
Languages
Gujarati
Native or Bilingual
Hindi
Native or Bilingual
Punjabi
Limited Working
Timeline
Pharmacy HUB Program Manager/ Field Reimbursement Manager
Mercalis
08.2019 - Current
Membership Professional
Blue Cross Blue Shield of North Carolina
07.2017 - 08.2019
Patient Benefits Specialist
McKesson
06.2016 - 07.2017
Pharmacy Training Specialist
CVS Specialty Pharmacy
04.2014 - 05.2016
Elk Grove High School
High School Diploma