Kim Pendergast
McKees Rocks,PA
Summary
• Outgoing and energetic
• Highly motivated and self-starter
• Established Leadership Abilities
• Proficiency in internal company systems
• Efficient data analysis skillset
• Effective communication and research skillsets
• Detail oriented
• Strong problem-solving and critical thinking skillset
• Experienced in the creation and implementation of staff training platforms
Overview
24
24
years of professional experience
Work History
IT Quality Assurance Analyst
ConnectiveRX-Remote
Pittsburgh, PA 15275
11.2023 - 01.2026
- Developed and implemented validation test cases to ensure quality during functional regression deployment and integration testing using agile and waterfall methodologies consistently meeting 2 week completion deadlines.
- Facilitated collaboration among project managers, program managers, business analysts, and development teams to identify and resolve issues.
- Facilitated and coordinated individual and team testing processes to ensure consistent quality deliverables.
- Applied in-depth knowledge of business systems and industry requirements to formulate and execute effective manual testing strategies and achieve thorough test case completion.
QC Specialist
ConnectiveRX-Remote
Pittsburgh, PA 15275
05.2020 - 11.2023
- Worked in tandem with program managers and benefit verification specialists to guarantee customer satisfaction and adherence to compliance protocols.
- Evaluated recorded calls and documentation to ensure adherence to federal regulations and company standards.
- Delivered insightful data analysis to enhance organizational performance and drive improvement initiatives in order to achieve 98 accuracy.
- Provided expertise in analyzing internal data to support and advance client quality goals.
- Developed presentations to showcase improvement successes and identify future opportunities.
- Designed and launched initial weighted scorecard to enhance client collaboration and strategic alignment.
- Crafted OneNote game plan template, ensuring preparedness for smooth operational shifts amid personnel fluctuations.
Case Manager
ConnectiveRx
Pittsburgh,, PA
05.2018 - 05.2020
- Oversaw care coordination process within designated territory, ensuring alignment between patient needs, physician requirements, and program objectives.
- Analyzed physician requirements and coordinated the exchange of patient-related information with internal and external stakeholders.
- Cultivated in-depth knowledge of reimbursement processes, billing and coding nuances, insurance plans, payer trends, financial assistance programs, and charitable access resources.
- Managed communication between patients, family healthcare providers, insurance companies, and specialty pharmacies to ensure timely insurance approvals for therapy.
- Leveraged comprehensive understanding of regional resources, including alternatives, to optimize support for patient care initiatives.
- Facilitated education for patients, family members, and healthcare providers on insurance policies and necessary criteria for therapy initiation and case management services.
- Achieved timely resolution of patient and physician concerns through effective care coordination. Facilitated insurance approvals for therapies, proactively preventing coverage delays by engaging with families, insurance companies, and benefits administrators.
- Designed electronic training resource for benefit verification specialists to enhance understanding of insurance variations, adverse event information, and coding practices for medical conditions and treatments.
- Selected as one of three agents to serve as a designated trainer for new hires.
Benefit Verification Specialist
ConnectiveRx
Pittsburgh, PA
08.2017 - 05.2018
- Ensured accurate completion of medical and pharmacy benefits verification to uphold service standards .
- Acted as a key resource for team members in addressing and overcoming obstacles to enhance workflow.
- Oversaw maintenance and updates of Xiaflex payer tool to ensure optimal functionality.
- Developed blue card rule sheet to ensure team members access accurate SPP information.
- Maintained high performance by consistently exceeding weekly case quotas while meeting established turnaround time requirements of in/out in 4 hours.
Insurance Verification Specialist
Walgreens Specialty Pharmacy
Pittsburgh, PA
05.2016 - 08.2017
- Executed verifications for dedicated drug, ensuring compliance with contracted 24-hour turnaround time.
- Executed high-volume medical and pharmacy benefit verifications for high-cost specialty medications with precision.
- Managed inbound call handling and accurately documented interactions in patient files.
- Streamlined processes for obtaining prior authorizations.
Patient Care Coordinator
Walgreens Specialty Pharmacy
Pittsburgh, PA
05.2015 - 05.2016
- Notified patients regarding changes in condition compliance and facilitated transfers to pharmacists for counseling.
- Documented all communications from calls, ensuring accurate records of urgent orders, shipping issues, and customer feedback.
- Managed inbound and outbound communication with patients and medical offices regarding medication orders and pharmacy services.
- Coordinated patient care by scheduling orders. Communicated shipment information to patients. Assessed supply needs and verified patient information.
Microcomputer Technical Specialist
JP Taravella High School
Coral Springs
05.2002 - 05.2013
- Facilitated staff training on diverse software applications and hardware, including Outlook Mail.
- Achieved successful deployment of active directory pilot program through effective collaboration. Enhanced system performance by developing comprehensive group policies and scripts. Contributed to streamlined processes that improved user access and security protocols.
- Managed monitoring of servers and backups to maintain data integrity and availability.
- Oversaw student account monitoring and creation to ensure compliance with county policies.
- Acquired technology and software solutions to enhance support for a student population of approximately 3,200.
- Resolved software, hardware, and network issues effectively, leading to improved system reliability. Delivered remote support via Landesk, enhancing operational efficiency and user satisfaction.
- Administered inventory database to ensure accurate tracking of stock levels.
- Developed and executed image creation processes for site computers, ensuring uniformity and operational efficiency.
- Oversaw administration of Pinnacle Gradebook to enhance academic performance tracking. Directed Microsoft Exchange administration to optimize organizational communication. Managed cab administration to ensure seamless network functionality.
- Facilitated vendor engagement to align Landesk pilot school offerings with Broward County expectations.
- Assisted with payroll processing using Kronos time clock system. Supported personnel actions through PAF documentation. Aided in budget requisition tasks while utilizing SAP software.
- Collaborated with committee members to identify requirements and create tailored training initiatives for TLCs in a large urban school district.
Timeline
IT Quality Assurance Analyst
ConnectiveRX-Remote
11.2023 - 01.2026
QC Specialist
ConnectiveRX-Remote
05.2020 - 11.2023
Case Manager
ConnectiveRx
05.2018 - 05.2020
Benefit Verification Specialist
ConnectiveRx
08.2017 - 05.2018
Insurance Verification Specialist
Walgreens Specialty Pharmacy
05.2016 - 08.2017
Patient Care Coordinator
Walgreens Specialty Pharmacy
05.2015 - 05.2016
Microcomputer Technical Specialist
JP Taravella High School
05.2002 - 05.2013