Experienced coordinator with a strong focus on team collaboration and achieving results. Proven skills in project management, effective communication, and problem-solving. Recognized for adaptability to changing needs and dependability in delivering outcomes. Ready to make a significant impact in a dynamic environment.
· Generated reports out of data system software for contract pharmacy program and management review
· Conducted audits of NDC updating in billing system (for accuracy of Medicaid claims), hospital pharmacy billing functions, location, patient, and payer mapping
· Conducted monthly audits of contract pharmacies for patient eligibility and duplicate discount problems
· Developed systems and processes to limit program liabilities and provided proper audits to identify risk and prevent duplicate discounts and diversion
· Identified Medicaid plans and ensured state compliance
· Recommended refinements of accounting or contractual agreements with contract pharmacies
· Generated reports out of data system software for contract pharmacy program and management review
· Reviewed rejected claims for additional savings opportunities and compliance
· Maintained and review up-to-date policies and procedures on 340B purchasing processes
· Maintained HRSA/OPA audit readiness at all times
• Performed bench, floor or conveyor assembly work, usually of short cycle duration, and involving standardized work elements.
• Comprehended work orders and follow directions using hand positioning, assist devices such as hoists, and power tools or other equipment.
• Contributed to a culture that promotes safety as its overriding priority.