Open To Work
Shanna Burrell
Birmingham,AL
Summary
Pharmacy benefits manager specializing in formulary management and claims processing. Successfully negotiated contracts that enhanced profitability and implemented strategies leading to a 30% increase in generic prescriptions. Proficient in relationship management and conflict resolution, ensuring compliance and delivering exceptional service in dynamic environments.
Overview
10
10
years of professional experience
Work History
Pharmacy Benefits Manager
Everise
Birmingham, Alabama
10.2025 - 02.2026
- Managed pharmacy benefit programs, ensuring regulatory compliance and optimizing program effectiveness.
- Advised clients on cost-containment strategies for prescription drugs, balancing budget considerations with quality service delivery.
- Oversaw claims processing, resolving discrepancies to facilitate timely payments and enhance client satisfaction.
- Educated patients about their coverage and prior authorization requirements.
- Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
- Maintained accurate records on all prior authorizations requested, received, and denied.
- Assisted customers with troubleshooting technical issues via phone and email.
- Documented support interactions in ticketing system for future reference.
- Educated users on software features and best practices for optimal performance.
Pharmacy Benefit Manager
Sitel
Birmingham, US
10.2023 - 10.2025
- Negotiated contracts with pharmaceutical manufacturers to secure favorable pricing and rebates, enhancing profitability.
- Implemented strategies to promote generic drug utilization, resulting in an increase in generic prescriptions by 30%.
- Analyzed trends in prescription drug claims to identify opportunities for cost savings and improved patient outcomes.
- Coordinated with insurance providers to resolve claims disputes, ensuring timely reimbursement for pharmacy services.
- Collaborated with healthcare providers to ensure appropriate medication management and adherence to treatment protocols.
- Monitored medication pricing trends to determine optimal reimbursement rates.
- Communicated with healthcare providers to gather essential documentation for claims processing.
CNA Mentor
Aspire Physical Recovery
Birmingham, US
04.2019 - 10.2023
- Facilitated training sessions for new nursing assistants, enhancing clinical skills and knowledge for better patient outcomes.
- Conducted regular workshops on patient handling and communication skills, fostering a more efficient and effective healthcare team.
- Developed comprehensive educational materials, supporting ongoing professional development and improving nursing staff competencies.
- Collaborated with healthcare team members to ensure high-quality patient care and adherence to safety protocols.
- Utilized electronic health record systems to maintain accurate patient data and streamline documentation processes.
Sales Associate
Walmart
Hoover, US
02.2023 - 05.2023
- Engaged customers to identify needs and deliver tailored product recommendations that enhanced shopping experience.
- Processed sales transactions accurately and efficiently, ensuring swift service and high customer satisfaction.
- Collaborated with team members to achieve monthly sales targets, leading to a 15% increase in overall revenue.
Contact Center Agent
Blue Cross Blue Shield
Hoover, US
10.2021 - 09.2022
- Provided exceptional customer service by efficiently resolving inquiries and complaints, leading to a 15% increase in customer satisfaction ratings.
- Managed 100+ calls daily, showcasing multitasking skills while providing calm and effective support in high-pressure situations.
- Analyzed customer feedback to identify trends and recommend improvements, contributing to a 30% reduction in product-related inquiries.
- Documented customer interactions and transactions to ensure adherence to company policies and regulatory standards.
Contact Center Agent
Alabama 811
Fultondale, US
07.2020 - 02.2021
- Achieved a call resolution rate of over 90% through effective communication and problem-solving skills.
- Delivered customer service by addressing inquiries and resolving issues promptly, enhancing customer satisfaction.
- Managed high call volumes effectively while maintaining professionalism and positivity, contributing to customer retention.
- Tracked customer interactions using CRM software, ensuring comprehensive follow-up on all inquiries to improve service quality.
- Trained new agents on company policies, procedures, and effective communication techniques to enhance overall team performance.
Front Desk Agent
Sonesta Es Suites
Birmingham, US
04.2016 - 04.2019
- Greeted and checked in guests, creating seamless arrival experience that contributed to high customer satisfaction.
- Managed reservations and room assignments using property management software, maximizing occupancy rates.
- Responded promptly to guest inquiries and concerns, providing exceptional service and resolving issues efficiently.
- Collaborated with housekeeping and maintenance teams to ensure timely room readiness and address any guest requests.
- Processed payments and maintained accurate financial records, ensuring balanced cash drawer.
- Assisted in training new front desk staff, fostering a team-oriented environment and promoting best practices.
Education
Associate in Science (A.S.) - Medical Billing And Coding
Ultimate Medical Academy
Florida07.2027
High School Diploma -
Woodlawn Magnet High School
Birmingham, US01.2009
Skills
- Pharmacy benefits management
- Formulary management
- Pharmacy management
- Utilization review
- Prior authorization
- Prescription processing
- Medication utilization
- Claims management
- Drug utilization review
- Healthcare coordination
- Data analysis
- Digital tracking
- Administrative accuracy
- Medical record keeping
- Insurance claims
- Medical coding
- Patient care
- Customer communication
- Relationship management
- Client Relationship management
- Workflow optimization
- Time management
- Problem solving
- Problem Solving Expert
- Critical thinking
- Conflict resolution
- Communication skills
- Communication Expert
- Leadership Expert
- Patient education
- Drug utilization review
Work Preference
Job Search Status
Open to workWork Type
Full TimePart TimeContract WorkLocation Preference
RemoteSalary Range
$45000/yr - $200000/yrTimeline
Pharmacy Benefits Manager
Everise
10.2025 - 02.2026
Pharmacy Benefit Manager
Sitel
10.2023 - 10.2025
Sales Associate
Walmart
02.2023 - 05.2023
Contact Center Agent
Blue Cross Blue Shield
10.2021 - 09.2022
Contact Center Agent
Alabama 811
07.2020 - 02.2021
CNA Mentor
Aspire Physical Recovery
04.2019 - 10.2023
Front Desk Agent
Sonesta Es Suites
04.2016 - 04.2019
Associate in Science (A.S.) - Medical Billing And Coding
Ultimate Medical Academy
High School Diploma -
Woodlawn Magnet High School