Lisa McVay-Moore
Summary
Leader with a proven track record at CVS Health, enhancing team productivity and streamlining operations. Excelled in complex problem-solving and operations management, boosting employee morale and reducing turnover. Skilled in both team leadership and performance management, consistently fostering staff development and driving significant process improvements.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Manager Clinical Services Prior Authorization
CVS Health
12.2021 - Current
- Manage a team of supervisor on the Commercial PA team.
- Review and relay data for performance reviews and quality audits to improve overall production, quality and member experience.
- Analyze processes and recommend improvement to streamline.
- Work with business partners to increase efficiency through collaboration.
- Monitor PA volumes and call out anomalies.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Reduced operational costs through comprehensive process improvement initiatives.
- Mentored team members for career advancement, fostering a pipeline of future leaders within the organization.
- Boosted employee morale and reduced turnover through recognition program.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Supervisor, Clinical Services Prior Authorization
CVS Health
11.2011 - 12.2021
- Supervised a team of 25-30 employees, comprised of senior and resolution technicians teams.
- Mentored employees and other supervisors to further develop their careers withing CVS.
- Maintained and managed all staffing.
- Oversaw all onboarding of new hires/contingent workers to ensure we were staffed appropriately.
- Managed internal and external PA & client audits.
- Support my supervisors teams and employee engagement through continuous feedback, recognizing strengths, & developing weaknesses.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Pharmacy Technician Supervisor
Sachse Pharmacy
11.2001 - 09.2010
- Supervisors 18 employees
- Monitored all workflows, work queues, ECS and overrides.
- Monitored and posted all Framework batches and clarification queues.
- Printed MARS for all shipments
- Ran crystal report to determine which drug orders would be expiring and delaget to staff for renewals.
- Monitored pa count per assigned CSR and increased staffing when appropriate.
- Created production and shipping schedule for all dept's.
- Supervisors all Medicaid & Medicare audits.
- Monitored all clozapine registries to ensure all lab values were updated.
- Monitored all MHMR, dialysis, transplant and respiratory patient files.
Director of Client Services
CPC Complete Pharmacy Care
11.2001 - 09.2010
- Oversaw all sales, data input and production staff.
- Coordinate with sales for all new enrollments, including going on sales calls, gathering needed documentation from new centers, onsite training, set up facility links for nurses and aids, and initial check in with first cycle of patient medications.
- Schedules all pharmacists consultants for center calls.
- Completed follow up visits and inspections for all centers.
- Built client relationships by responding to inquiries, identifying and assessing clients' needs, resolving problems, and following up with potential and existing clients.
- Handled complaints, provided appropriate solutions, and alternatives within appropriate timeframes and followed up to achieve resolution.
- Supervised daily operations and sales functions to maximize revenue, customer satisfaction, and employee productivity.
- Interacted with clients on regular basis to quickly alleviate issues and provide project updates.
Certified Pharmacy Technician
Statlanders Pharmacy
02.1999 - 07.2000
- Compound Technician
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Managed insurance billing and claims processing, streamlining the reimbursement process for patients and pharmacy.
- Performed regular audits to maintain compliance with state regulations and company policies.
Certified Pharmacy Technician
Kaiser Permanente
01.1991 - 12.1998
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Counted, measured and compounded medications following standard procedures.
Education
High School Diploma -
Forney High School
Forney, TX05.1985
Skills
- Team Leadership
- Time Management
- Verbal and written communication
- Complex Problem-Solving
- Staff Training and Development
- Operations Management
- Performance Management
- Staff Development
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Manager Clinical Services Prior Authorization
CVS Health
12.2021 - Current
Supervisor, Clinical Services Prior Authorization
CVS Health
11.2011 - 12.2021
Pharmacy Technician Supervisor
Sachse Pharmacy
11.2001 - 09.2010
Director of Client Services
CPC Complete Pharmacy Care
11.2001 - 09.2010
Certified Pharmacy Technician
Statlanders Pharmacy
02.1999 - 07.2000
Certified Pharmacy Technician
Kaiser Permanente
01.1991 - 12.1998
High School Diploma -
Forney High School
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