Lydia Georgy, PharmD, CDCES, BCMTMS, BCACP
Springfield,VA
Summary
Experienced and board-certified pharmacist providing exceptional pharmaceutical care to patients with chronic and complex medical conditions. Proven success in improving quality measures, managing medication therapy, and delivering customer-focused clinical services. Providing comprehensive medication reviews (CMRs) and targeted medication reviews (TMRs) among other services aimed at optimizing medication use. Possess extensive experience in prior authorization, Pharmacy Benefit Management (PBM) and Medicare part D; processing and reviewing requests for medications, medical services, and procedures. Responsible for collaboration with PBM and Medicare part D providers to ensure compliance with coverage criteria, policies, and regulations, as well as ability to resolve any issues or disputes. Demonstrating excellent communication, problem-solving and customer service skills. In addition to a strong knowledge of medical terminology, coding, and billing. Highly motivated and detail-oriented professional with expertise in data analysis, project management, and process improvement. Adept at troubleshooting and resolving complex issues. Skilled in developing and implementing innovative strategies to reduce costs and increase efficiency.
Overview
10
10
years of professional experience
3
3
Certification
Work History
Clinical Pharmacist
Aspen RxHealth
01.2021 - Current
- Providing comprehensive medication reviews (CMRs) and targeted medication reviews (TMRs) among other services aimed at optimizing medication use
- Delivering high-quality clinical services using vast bank of knowledge and expertise
- Possessing extensive experience in prior authorization, PBM and Medicare part D
- Responsible for collaborating with PBM and Medicare part D providers to ensure compliance with coverage criteria, policies, and regulations, as well as ability to resolve any issues or disputes
- Demonstrating excellent communication, problem-solving and customer service skills
- Strong knowledge of medical terminology, coding, and billing.
Clinical Consultant Pharmacist
Just Heart Cardiovascular Group
07.2019 - Current
- Providing various consultations services to Primary Care and Cardiology Practice physicians' outpatients
- Quality Measures improvement based on the practice's reported Quality Metrics
- Medication Therapy Management for complex or chronic care patients
- Achieving higher office reimbursements from Medicare in the pay-for performance model
- Chronic Care Management for patients needing monthly check-ins
- Communicating with providers to influence optimal drug information to patients and health care providers
- Transitional Care Management for patients discharged from a hospital or other facility
- Grant writing and collaborative practice agreements
- Remote Patient Monitoring using Medical Wearables
- Committing to Target Drug Programs and cost-effective prescribing initiatives
- Supporting patients with actionable steps and behavioral counseling to increase adherence through an individualized medication review and action plan
- Participating in patient and provider educational programs to positively impact patient compliance and provider prescribing practices
- Prior Authorization specialist, processing and reviewing requests for medications, medical services, and procedures
- Overseeing and directing pharmacy intern staff.
Ambulatory Care Pharmacist
Kaiser Permanente
07.2013 - 07.2019
- Performed medication adherence consultations and Comprehensive Medication Reviews (CMRs) for Centers of Medicare and Medicaid services (CMS) 5-star rating related purposes
- Influenced optimal drug utilization and adherence to formulary drugs
- Provided drug therapy consultation and monitored drug therapy
- Responsible for collaboration with PBM and Medicare part D providers to ensure compliance with coverage criteria, policies, and regulations, as well as ability to resolve any issues or disputes
- Critically analyzed drug literature and provided drug information to health professionals and members
- Developed drug education plans and supported initiatives to achieve HEDIS goals
- Addressed patient concerns and participated in patient education
- Attended Diabetes Educator meetings and participated in forums
- Oriented and trained new pharmacy personnel, co-precepted pharmacy students
- Attended monthly pediatric provider meetings as pharmacy liaison and developed protocols
- Accomplished 'Pediatric Antibiotic Call-backs' project for safety and quality assurance to pediatric population
- Executed special projects such as conversions and drug utilization initiatives
- Managed drug recalls and secured compliance with baker cells/cassettes
- Demonstrated excellent communication, problem-solving and customer service skills
Education
Doctor of Pharmacy - Pharmacy
Virginia Commonwealth University
Richmond, VASkills
- Medication Therapy Management
- Comprehensive Medication Review
- Targeted Medication Review
- Chronic Care Management
- Transitions of Care
- Remote Patient Monitoring
- Patient Care Optimization
- Leadership and Entrepreneurship
- Diabetes Management and Education
- Medicare and Medicaid Processes
- Quality Payment Program (QPP) Reporting
- MIPS/MACRA
- Drug Utilization Evaluation
- ICD-9, ICD-10, CPT Codes
- Medication Action Plans
- Physician Consultations
- Institutional Review Board (IRB)
- Insurance Claim Processing
- Research and Publications
- Grant Writing
- Computer proficiency, including Microsoft tools,ePIMS (pharmacy dispensing software), EPICHYPERSPACE, and HEALTHCONNECT healthcare software
Accomplishments
"Pharmacist of The Year" Award
Courtesy Clinical Assistant Professor at University of Florida School of Pharmacy
Section Advisory Group Member at the American Society of Health System Pharmacists (ASHP)
Subject Matter Expert for The National Board of Medication Therapy Management (NBMTM)
Subject Matter Expert for the Deployment of Epims at Kaiser Permanente
Licenses
Virginia Board of Pharmacy, License# 0202206860
Maryland Board of Pharmacy, License# 19542
District of Columbia Board of Pharmacy, License# PHI 00000765
Certification
Certified Diabetes Educator Certificate Program, American Association of Diabetes Educators
Board Certified Medication Therapy Management Specialist (BCMTMS), National Board of Medication Therapy Management
Board Certified Ambulatory Care Pharmacist (BCACP), Board of Pharmacy Specialties
Publications
A QUANTITATIVE APPROACH INVESTIGATING HOW THE UNIQUE AND DIRECT ROLE OF PHARMACIST INTERVENTION CAN IMPACT MIPS/MACRA IN PRIMARY CARE CLINICS, Journal of American College of Clinical Pharmacists (JACCP), Georgy L. et al.
Telepharmacy Resources- ASHP, https://www.ashp.org/-/media/assets/pharmacy-educators/docs/Telepharmacy-Resources.pdf, Primary authors include: Dr. Lydia Georgy, PharmD, CDCES, BCMTMS. Last updated July 2022.
Self Assessment: Getting Started with PAI 2030-ASHP, https://www.ashp.org/-/media/assets/pharmacy-educators/docs/Self-Assessment-Getting-Started-with-PAI-2030.pdf, Primary authors include: Dr. Angela Goodhart, Dr. Lydia Georgy, and Dr. Kristen Longstreth. Last updated May 2022.
Selected Presentations
Management of Drug Induced QT Prolongation (presented to Kaiser Permanente Healthcare Providers)
Insulin Treatment in Type 2 Diabetes (presented to physicians, nurses, pharmacists and pharmacy technicians at Kaiser Permanente)
Fondaparinux in Acute Coronary Syndromes (presentation to clinical pharmacists and pharmacy students at Kaiser Permanente)
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Success is often achieved by those who don’t know that failure is inevitable.
Coco Chanel
Timeline
Clinical Pharmacist
Aspen RxHealth
01.2021 - Current
Clinical Consultant Pharmacist
Just Heart Cardiovascular Group
07.2019 - Current
Ambulatory Care Pharmacist
Kaiser Permanente
07.2013 - 07.2019
Doctor of Pharmacy - Pharmacy
Virginia Commonwealth University
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