Robert Welch
Jersey City,USA
Summary
Exemplary Healthcare Administrator delivering exceptional healthcare service. Coordinated admission and discharge processes for seamless transitions. Skilled strategist improving healthcare management and outcomes. Proven problem solver and effective communicator fostering collaboration. Strong organizational skills and superb understanding of data collection and performance metrics for informed decision-making. Recognized for developing staff and forming high-performing teams.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Director of Pharmacy Operations
PersonalRX Pharmacy
01.2024 - Current
- Oversaw and spearheaded two multi-million-dollar mergers within one year, expanding dispensing authority across two key US states and a 45% increase in patient acquisition
- Implement systems to streamline processes, boosting efficiency and medication safety using a proprietary EMR and billing software
- Strategize and execute plans, consistently meeting deadlines and budget while exceeding targets.
- Introduced a clinical medication reconciliation consultation program and set up the proper billing channels for Medicare Part B and several Medicare Advantage plans, leading to a 15:1 return-on-investment within 6 months
- Optimize inventory management through participating in Group Purchasing Organizations(GPOs) and increasing our NPS, reducing waste and costs, improving financial performance.
District Manager
OnPoint Pharmacy
04.2023 - 12.2023
- Led district operations, optimizing workflows and enhancing patient care, achieving measurable results
- Implemented cost-saving measures, significantly improving budget efficiency.
- Established and maintained collaborations with nearby medical networks to increase patient adherence to standard chronic medications, thus improving reimbursement for these medical centers
- Championed a department that increased patient accessibility to specialty medications through various financial assistance programs (particularly oncology and multiple sclerosis medications)
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Specialty Pharmacy Liaison
Shields Health Solutions
07.2021 - 04.2023
- Coordinated patient care, optimized medication access, and improved treatment adherence, resulting in enhanced patient outcomes and reduced healthcare costs.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Advised providers and billing personnel on the proper usage of Buy-and-Bill procedures in accordance with guidelines set by the CMS
- Fostered strong relationships with healthcare providers, insurers, and patients to ensure seamless specialty medication management and support.
Senior Certified Specialty Pharmacy Technician
Walgreens
04.2018 - 03.2021
- Managed intricate dosing schedules for specialty drugs, ensuring patient safety
- Maintained meticulous records, supporting seamless continuity of care.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Pharmacy Inventory Specialist
CVS Pharmacy
04.2016 - 03.2018
- Optimized inventory management processes, reducing stock discrepancies and enhancing accuracy in medication tracking at CVS Pharmacy.
- Monitored inventory to maintain sufficient supply levels to meet business and customer needs.
- Implemented efficient stock rotation strategies, minimizing waste and ensuring timely availability of critical medications for patients.
Education
Masters of Public Health (MPH) - Biostatistics
Fairleigh Dickinson University-Florham Campus
Florham Park, NJ06.2023
Bachelor of Arts - Political Science And Economics
Montclair State University
Montclair, NJ12.2018
Skills
- Project Management
- Data Analysis
- Process Improvement
- Healthcare Compliance
- Relationship Management
- Technology Integration
- Strategic Planning
- Medicare & Medicaid Claims Analysis
- Budget Management
- Pharmacy Automation
- Patient Advocacy
- Prior Authorizations
Certification
Advanced Certified Pharmacy Technician (CPhT-Adv), PTCB
- Billing and Reimbursement
- Medication History
- Point-of-Care Testing
- Drug Supply Chain Management
Healthcare Finance, Northeastern University
Project Management Professional, Microsoft
Medical Billing and Coding, MedCert
Languages
Arabic
Full Professional
Spanish
Native or Bilingual
Software
EMRs (Epic, Point-Click-Care, eClinicalWorks, Cerner)
Pharmacy Software (Micro-Merchant, PrimeRX, Pioneer, ScriptPro, IC3)
Specialty Billing & Revenue Cycle Management (ProPharma, DocStation)
Microsoft Office (PowerPoint, Excel, Word, Teams, Azure)
Timeline
Director of Pharmacy Operations
PersonalRX Pharmacy
01.2024 - Current
District Manager
OnPoint Pharmacy
04.2023 - 12.2023
Specialty Pharmacy Liaison
Shields Health Solutions
07.2021 - 04.2023
Senior Certified Specialty Pharmacy Technician
Walgreens
04.2018 - 03.2021
Pharmacy Inventory Specialist
CVS Pharmacy
04.2016 - 03.2018
Masters of Public Health (MPH) - Biostatistics
Fairleigh Dickinson University-Florham Campus
Bachelor of Arts - Political Science And Economics
Montclair State University
- Advanced Certified Pharmacy Technician
- Billing and Reimbursement
- Medication History
- Point-of-Care Testing
- Drug Supply Chain Management
Similar Profiles
Rafaa KorinaRafaa Korina
Pharmacist at Community Pharmacy ,nada Alalmia Pharmacy,alshifa PharmacyPharmacist at Community Pharmacy ,nada Alalmia Pharmacy,alshifa Pharmacy
Jeffrey GoetzingerJeffrey Goetzinger
Pharmacy Manager at The Pharmacy II dba Orchard Hills PharmacyPharmacy Manager at The Pharmacy II dba Orchard Hills Pharmacy
Faith AlexanderFaith Alexander
Pharmacy Technician at Black Bear Pharmacy, Beckley PharmacyPharmacy Technician at Black Bear Pharmacy, Beckley Pharmacy