Sarah Stecklein
Shawnee
Summary
Experienced Pharmacy Network Analyst focused on cultivating positive and productive relationships both internally and externally. Excellent customer service, problem solving, and product support abilities with an extensive history of successful implementations and migrations.
Overview
19
19
years of professional experience
Work History
Dawrin Claims Analyst
Abarca Health
07.2023 - Current
- Primary support for on plan configuration setup for new Medicare, Medicaid and Commercial client implementations and configuration for existing clients.
- Unit testing to confirm configuration set-up or changes are processing as expected as defined in the client documentation.
- Resolution and ownership of project-based work as assigned.
- Collaborate and coordinate both within the configuration teams and with other business units to execute configuration as required.
- Responsible for daily tracking and monitoring of assigned requests to ensure deadlines are met or exceeded.
- Provide consultation and peer review for configuration practices and designs.
- Assist and train new analysts.
Pharmacy Network Analyst
SS&C Technologies Inc
11.2021 - 07.2023
- Research and resolve contracting issues.
- Communicate to clients on issues related to claim processing.
- Monitor the pharmacy mailbox and phone queries for requests.
- Complete research to resolve network issues.
- Migrate new and existing clients to RxNova pharmacy.
- Train associates on RxNova pharmacy and pricing options.
- Participate in regular meetings related to to application improvements based on customer needs.
- Establish testing outlines and complete testing.
- Work with clients to implement new networks and plans.
Pharmacy Network Specialist II
SS&C Health
07.2019 - 11.2021
- Work directly with customers and internal departments to implement new pharmacy networks and plans.
- Analyze and execute customer requests.
- Project testing for pharmacy, network and pricing processing application enhancements.
- Research and resolve pharmacy network and claim pricing issues for customers.
Senior Pharmacy Network Specialist
Argus Health Systems
09.2014 - 07.2017
- Work directly with customers and internal departments to implement new pharmacy networks and plans.
- Analyze and execute customer requests.
- Participate in certification testing for pharmacy, network and pricing processing applications.
- Research and resolve pharmacy network and claim pricing issues for customers.
Customer Service Team Lead
Argus Health Systems
08.2005 - 09.2014
- Manage daily work priorities within the Claims Entry department in order to meet customer service agreements.
- Facilitate training for incoming claim entry associates.
- Request and test system updates to work processing flows.
- Review and provide feedback on call handling metrics, quality and claim entry goals for pharmacy claim help desk associates.
- Manage escalated issues and communicate appropriately for resolution.
- Develop centralized resources for reference material.
Education
Certified Pharmacy Technician (CPhT), Pharmacy Technician Certification Board (PTCB) -
Johnson County Community College
Overland Park, KS12.2019
Associate of Arts - General Studies
Johnson County Community College
Overland Park, KS12.2023
High School Diploma -
Shawnee Mission North High School
Shawnee Mission, KS05.2003
Skills
- Issue Resolution
- Critical Thinking
- Performance Improvement
- Team Player
- Training and Development
- Project Management
- Subject Matter Expert RxNova
- Sound Judgment
- Staff Training
Timeline
Dawrin Claims Analyst
Abarca Health
07.2023 - Current
Pharmacy Network Analyst
SS&C Technologies Inc
11.2021 - 07.2023
Pharmacy Network Specialist II
SS&C Health
07.2019 - 11.2021
Senior Pharmacy Network Specialist
Argus Health Systems
09.2014 - 07.2017
Customer Service Team Lead
Argus Health Systems
08.2005 - 09.2014
Certified Pharmacy Technician (CPhT), Pharmacy Technician Certification Board (PTCB) -
Johnson County Community College
Associate of Arts - General Studies
Johnson County Community College
High School Diploma -
Shawnee Mission North High School
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