Resourceful and results-driven with a passion for growth and efficiency to increase service value.
Equipped with strong problem-solving abilities, analytical skills, adaptability, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Pharmacy Operations Coordinator
Centene
Remote
01.2024 - 03.2026
Coordinated cross-functional teams to streamline operational workflows and enhance efficiency.
Developed and implemented process improvements to reduce turnaround times for project deliverables.
Managed scheduling and resource allocation for multiple projects, ensuring optimal utilization of staff and materials.
Analyzed operational performance metrics to identify trends and recommend actionable strategies for improvement.
Performed duties to support the development, coordination and maintenance of the pharmacy program.
Reviewed benefit/formulary setup and testing (new and year over year).
Participated in the successful integration of the pharmacy program into a new platform
Conducted claims analysis for all states enrolled in Centene's managed care program ensuring claims paid correctly in according to each plan's formulary and benefits, as well as ensuring CMS compliance
Recipient of Centene's Key Contributer Award on four different occasions. Supervisor nominated award that recognizes impactful contributions to the organization that drive our business forward and enrich the member experience.
Assumed and performed all responsibilities for team leader as an interim role
Conducted training for all new hires within my team
SPECIALTY PHARMACY TECHNICIAN SUPERVISOR
University Of Arkansas For Medical Sciences
LITTLE ROCK
07.2019 - 12.2023
Facilitated the medication access process for over 1300 patients from start to finish for oral chemotherapy treatment including submitting prior authorizations, obtaining financial assistance and outreaching patients for refills
Adjudicated pharmacy benefit insurance for each prescription fill with Q1 of 2023 average of 96.67% for Billing and Coding Accuracy.
Applied knowledge of the oncology disease state to perform complex prior authorization reviews, communicate with prescribers to ensure proper documentation and labs have been obtained, as well as compose letters of appeal and medical necessity following denied prior authorization requests
Established and maintained relationships with contracted pharmacies ensuring a profit of over $2 million dollars monthly
Conducted analysis, designs solutions, and monitors performance against metrics, business and patient requirements resulting in 99% overall patient satisfaction in latest survey
Ensured medical record documentation and hand-offs between disciplines occur in a timely, effective manner both compliant with HIPAA, URAC and ACHC to maintain patient confidentiality and accreditation
PHARMACY TECHNICIAN OPERATIONS SUPERVISOR
WALGREENS
LITTLE ROCK
03.2016 - 06.2020
Maintained a 99% success rate in both speed and accuracy for entering prescriptions into medication input software system. Entered over 500 prescriptions weekly.
Implemented and exceeded pharmacy objectives determined by administrative leadership such as a target 40% 90 day refill conversions and maintaining a 60% NPS score.
Directed pharmacy operations to increase efficiency and minimize patient wait times
Verified dosages and indications of prescription medication to ensure safety, accuracy and escalated mistakes or concerns to pharmacist on duty. Reduced safety events from an average of 15 yearly to 3 across entire staff.