Samantha Graeler

• Manage and motivate employees to be productive and engaged in work
• Develop and maintain effective working relationships as liaison between clients, internal teams, and external partners, such PBMs, brokers, and other third party staff
• Understand each assigned client’s business model, organizational structure, business goals, pharmacy benefit intent, and forecasted changes
• Proficient in the PBM marketplace, including carrier contacts, services, and underwriting requirements
• Inform leadership of all important activities on client accounts as well as my teams client accounts
• Present to clients and brokers market reprice analyses, contract terms, and rate dependencies
• Research and respond to pharmacy benefit related questions within deadline requirements
• Assist in the communication of employee benefits in client enrollment meetings and webinars with the appropriate PBM representation
• Assist the client in resolving billing, claim, eligibility, COBRA, and other customer service problems
• Partner with PBM teams to resolve problematic benefits issues
• Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations
• Provide semi-annual detailed pharmacy benefit performance reports to clients showing client metrics in comparison to industry benchmarks along with recommendations for plan improvement
• Develop robust client relationships to promote client satisfaction, client retention and additional revenue opportunities
• Review pharmacy benefit utilization trends and outliers with client on a regular basis
• Host clients in the NFP office and/or carrier facilities, as needed
• Prepare and provide ad hoc reports as needed
• Keep all information on book of business accurate and up to date in the CRM software
• Monitor client billing and payments and ensure that proper billing procedures are followed
• Participate in seminars and classes for continuing education on industry skills and knowledge
• Assist in the development and maintenance of department resources, job aids, training materials, etc
• Present a positive image of self and of NFP, in and out of the office, to fellow employees, clients, providers, and the community
• Participate in special projects as requested, i.e. speaking a corporate conferences and creating digital content

• Entered patients into database accurately and efficiently
• Reviewed and process medication orders using client specific criteria
• Resolved customer inquiries regarding medication orders and deliveries
• Recapped patient charts to ensure physician order sheets are up to date
• Corresponded with nursing facility staff and physicians
• Followed HIPPA, Medicaid, and Medicare guidelines
• Worked independently and manage multiple priorities concurrently

• Maximized customer satisfaction by assisting each customer with their questions and concerns
• Communicated with all healthcare professionals and customers by answering telephones
• Performed all prescription pick-up procedures and register transactions
• Resolved Third Party rejections and complete any manual claim forms
• Processed prescriptions including data entry, product selection, counting/measuring and labeling
• Maintained inventory by generating and sending orders on a daily basis
• Assisted with putting away daily drug orders and prescriptions ready for pick-up
• Pulled outdated, damaged, and recalled merchandise and prepare for return
• Trained and directed fellow technicians on their daily work flow as well as coordinate work schedule for all technicians

Provided assistance to registered pharmacist by:

• Providing efficient and friendly customer service by running the cash register and locating desired items
• Accepting new prescription orders and refill requests as well as gathering required patient information
• Inputting the prescription into the computer and accurately filling the order in timely manner
• Preparing and submitting insurance claims to third parties including troubleshooting
• Contacting physicians to verify or authorize prescriptions and address third party issues
• Promptly answering the telephone for prescription orders, refills, and price quotes
• Shelving, rotating, and checking in daily drug or supply orders from wholesalers
• Logging invoices and preparing prescriptions to be mailed or delivered
• Filing completed prescriptions and maintaining cleanliness of the pharmacy