Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
PROFESSIONAL ATTRIBUTES
Languages
Timeline
Generic

MAGNOTHI CABRERA

Orlando

Summary

Experienced and results-driven Healthcare Administrator with 10+ years of success in pharmacy benefit management (PBM), specialty drug utilization, patient advocacy, and healthcare operations. Demonstrated expertise in financial case management, regulatory compliance, and member engagement—consistently reducing specialty drug spend through data-driven, member-centric strategies. Known for cross-functional leadership, compliance readiness, and dedication to quality outcomes. Currently pursuing a B.S. in Healthcare Administration (GPA: 3.89). Certified in Six Sigma Green Belt and HIPAA Compliance. Seeking to contribute strategic insight and operational excellence in a remote health administration role.

Administrative professional skilled in optimizing office workflows and managing diverse administrative tasks. Proven ability to support higher management through effective scheduling and coordination. Strong focus on team collaboration and adaptability to changing organizational needs, ensuring seamless operations and goal achievement.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Rx Compass Care Administrator

Liviniti (RxCompass)
01.2023 - Current
  • Serve as the primary liaison for patients with complex specialty drug needs, leading financial case management and benefit navigation.
  • Execute cost-reduction strategies across PBM and medical benefit channels to align with client PMPM goals.
  • Educate patients, providers, and pharmacies regarding drug alternatives, accumulators, financial aid, and site-of-care options.
  • Ensure compliance with HIPAA, ERISA, and client-specific guidelines using CRM systems and documentation tools.
  • Collaborate across clinical, prior authorization, and account management teams to ensure seamless, coordinated care.
  • Support patients across U.S. time zones with flexibility in communication and scheduling.
  • Contribute to quality assurance initiatives and audit readiness processes.

Senior Health Concierge – Infusion Consultant

Aetna (CVS Health)
01.2015 - 01.2023
  • Led site-of-care transitions for infusion therapies, identifying outpatient and home infusion opportunities to control cost.
  • Participated in oncology drug initiatives and transition programs post-merger with Coram Specialty Infusion Services.
  • Delivered real-time benefit explanations and specialty pharmacy guidance to members and providers.
  • Surpassed service level targets, consistently achieving high satisfaction and retention metrics.

Sales Support Product Specialist

Aetna
01.2013 - 01.2015
  • Managed outreach campaigns promoting cost-effective access to Hepatitis C therapies (e.g., Harvoni).
  • Partnered with specialty pharmacy teams and manufacturers to align benefit utilization with assistance programs.
  • Ensured adherence to clinical protocols and improved access to life-saving medications.

Inbound Queue Associate – Pharmacy Authorization

Aetna
01.2012 - 01.2013
  • Processed high-volume prior authorization requests, ensuring timely and accurate decisions per plan criteria.
  • Communicated with providers for clinical documentation and benefit eligibility.
  • Played a key role in maintaining turnaround time standards and customer satisfaction.

Sales Supervisor

LensCrafters
01.2008 - 01.2012
  • Oversaw retail operations, sales performance, and team supervision in a high-volume optical healthcare environment.
  • Maintained compliance during inventory audits and led training programs for new hires.
  • Improved patient satisfaction through enhanced service delivery and workflow optimization.

Education

Bachelor of Science - Healthcare Administration

Southern New Hampshire University
Manchester, NH

Skills

  • Healthcare Operations Management
  • PBM & Specialty Drug Strategy
  • Financial Case Management & Cost Containment
  • HIPAA, ERISA & CMS Regulatory Compliance
  • Site-of-Care Optimization (Infusion & Specialty)
  • CRM Systems & Salesforce Proficiency
  • Member Engagement & Advocacy
  • Claims & Accumulator Analysis
  • Process Improvement (Six Sigma)
  • Prior Authorization & Utilization Review

Accomplishments

  • Documented and resolved client resolution which led to high ROI.

Certification

  • Six Sigma Green Belt – [Issuing Organization or Platform]
  • HIPAA Compliance Certified – [Issuing Organization or Platform]

PROFESSIONAL ATTRIBUTES

  • Strategic Thinker with a Member-First Mindset
  • Quality-Focused and Detail-Oriented
  • Collaborative Cross-Functional Partner
  • Regulatory Savvy and Compliance-Driven
  • High Emotional Intelligence and Empathy

Languages

Spanish
Native or Bilingual

Timeline

Rx Compass Care Administrator

Liviniti (RxCompass)
01.2023 - Current

Senior Health Concierge – Infusion Consultant

Aetna (CVS Health)
01.2015 - 01.2023

Sales Support Product Specialist

Aetna
01.2013 - 01.2015

Inbound Queue Associate – Pharmacy Authorization

Aetna
01.2012 - 01.2013

Sales Supervisor

LensCrafters
01.2008 - 01.2012

Bachelor of Science - Healthcare Administration

Southern New Hampshire University

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