Mary Davis
Robbinsdale,MN
Summary
Versatile Project Coordinator with background successfully executing diverse project tasks to meet deadlines. Highly skilled at communicating with colleagues, monitoring status and achieving key milestones. Enthusiastic problem solver and talented team player with superior planning and decision-making skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Project Coordinator, E&I Affordability
United HealthCare
01.2023 - Current
- Kept projects on schedule by managing deadlines and adjusting workflows.
- Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
- Enhanced team collaboration through regular meetings, fostering a positive work environment for increased productivity.
- Liaised between departments to facilitate communication and keep appropriate parties updated on project developments.
- Prepared meeting agendas and minutes for distribution and record keeping.
- Coordinated cross-functional teams to achieve seamless collaboration in achieving project objectives.
- Maintained accurate documentation of all projects, facilitating efficient audits and future reference.
- Responded to requests for information on materials to inquiring parties.
Pharmacy Specialist
PreferredOne
09.2016 - 01.2023
- Process, communicate, document, and track requests for formulary exceptions, prior authorizations, and quantity exceptions
- Work towards compliance and authorization approval through provider engagement and discussion
- Facilitated the execution of converting coverage for Continuous Glucose Monitors from the pharmacy and medical benefit to a pharmacy benefit exclusion, leading to a savings of $1 million annually
- Respond promptly to customer, vendor, and staff questions regarding the clinical review process and policies
- Assist with drafting policies and procedures regarding clinical review and formulary management
- Proficiency in Facets, excel, PowerPoint, Word, PBM claims systems, and MS Teams
- Collaborate with customer service, complex case management, and account management on escalated member concerns and cost savings opportunities
- Identify and execute operational efficiency improvements around the clinical review
- Identify and resolve benefit setup errors
- Ensured compliance with federal, state, and local regulations by adhering strictly to pharmacy laws and safety protocols.
- Trained new pharmacy staff members on proper procedures, ensuring a high level of proficiency in their roles.
Pharmacy Technician
Richmond Hill Pharmacy
11.2015 - 08.2016
- Reconciled account issues and resolved prescription problems via telephone and at th counter
- Handled prescription orders at the counter, in the drive-thru line, and via delivery service
- Minimized risk and maintained accuracy, adhering to proper medication-handling techniques and industry best practices
- Called insurance companies to retrieve patient information to determine the final cost of prescriptions.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Clinical Review Technician
Prime Therapeutics
03.2013 - 09.2015
- Secured patient information according to HIPAA protocols by following strict procedures
- Identified incomplete records and independently pursued missing information
- Contacted or interviewed claimants, doctors, medical specialists, and employers to get additional information
- Made accurate determinations based on information obtained from claimants and medical professionals
- Offered to assist with additional tasks to keep projects on task and meet tight deadlines.
- Demonstrated adaptability when faced with new challenges or technologies, enabling quick mastery of necessary skills.
- Actively participated in continuous learning initiatives to stay updated on industry trends and advancements in technology.
Education
Some College (No Degree) -
Northeastern State University
Tahlequah, OKSkills
- Problem-Solving
- Time Management
- Detail Oriented
- Team Coordination
- Project Management
- Flexible and Adaptable
- Workload Management
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Project Coordinator, E&I Affordability
United HealthCare
01.2023 - Current
Pharmacy Specialist
PreferredOne
09.2016 - 01.2023
Pharmacy Technician
Richmond Hill Pharmacy
11.2015 - 08.2016
Clinical Review Technician
Prime Therapeutics
03.2013 - 09.2015
Some College (No Degree) -
Northeastern State University