Summary
Overview
Work History
Education
Skills
Timeline
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SHARNEICE MCTIER

Owings Mills,MD

Summary

Results-oriented Pharmacy Account Manager at CVS Health with a strong focus on client relationship management and project oversight. Demonstrates expertise in data analysis and effective communication, successfully implementing tailored strategies that drive growth and enhance customer satisfaction. Adept at resolving complaints efficiently while fostering cross-functional collaboration to achieve optimal outcomes.

Overview

9
9
years of professional experience

Work History

Pharmacy Account Manager, Analyst

CVS Health
Remote
10.2022 - Current
  • Establish positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Resolved customer complaints promptly and efficiently.
  • Liaised with internal departments to address strategic planning and forecasting.
  • Supported sales team members to drive growth and development.
  • Resolved customer complaints regarding sales and service.
  • Project Management activities including maintaining reports and tracking of client issues.
  • Respond to client inquiries and escalations, ensuring concerns are addressed promptly.
  • Collaborate with internal teams to resolve issues
  • Build and maintain strong relationships with clients, acting as the primary point of contact for all inquiries and issues
  • Designed tailored strategies to address multifaceted client requirements.

Senior Enrollment Representative

CareFirst Blue Cross Blue Shield
09.2021 - 09.2022
  • Educated clients on insurance policies and procedures.
  • Analyzed customer needs to provide customized insurance solutions.
  • Calculated premiums and established payment methods for sales.
  • Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
  • Conducted annual reviews of existing policies to update information.
  • Monitored customer feedback and identified areas of improvement.
  • Negotiated contracts and terms of sale with potential customers.
  • Analyzed risk factors to recommend appropriate coverage levels.
  • Collected premiums on or before effective date of coverage.
  • Assisted applicants with filling out necessary paperwork and checked all documents for completion.
  • Processed documents and payments to complete enrollment procedures.
  • Scheduled appointments with applicants to gather information and explain benefits processes.

Senior Health & Safety Advisor

Care First Blue Cross Blue Shield
06.2017 - 08.2021
  • Communicated with patients, ensuring that medical information was kept private.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Educate members about their group policy enrollment through employers.
  • Responsible for assisting members and providers with support for complex issues via inbound/outbound calls, emails, fax and mailed correspondence.
  • Analyze claims and advise how claims have processed according to their policy benefits.

Patient Care Coordinator

Maximus- Maryland Health Benefit Exchange
10.2016 - 03.2017
  • Educate callers about the Affordable Care Act, MHBE Call Canter eligibility screening, application, inquiry, complaints, claims, exemptions, appeals, special enrollments procedures, and provide information on initial eligibility determinations.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
  • Worker Portal, MHC consumer portal, Nice Schedule Tracker, Email, and Lync chat.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.

Education

Some College (No Degree) - Healthcare Administration

Purdue University Global
Indianna

Vocational Diploma - Medical Assistant

Fortis Institute
Woodlawn, MD

High School Diploma -

Western School of Technology And Environmental Science
Catonsville, MD

Skills

  • Client relationship management
  • Project Management
  • Effective communication
  • Cross-functional collaboration
  • Microsoft Office Suite
  • Data analysis
  • Analytical thinking
  • Customer service excellence
  • Salesforce proficiency
  • Case management
  • Data entry
  • FACET's expertise
  • Call center operations
  • Customer trend analysis
  • Account management
  • Rapport and relationship building
  • Customer complaint resolution

Timeline

Pharmacy Account Manager, Analyst

CVS Health
10.2022 - Current

Senior Enrollment Representative

CareFirst Blue Cross Blue Shield
09.2021 - 09.2022

Senior Health & Safety Advisor

Care First Blue Cross Blue Shield
06.2017 - 08.2021

Patient Care Coordinator

Maximus- Maryland Health Benefit Exchange
10.2016 - 03.2017

Some College (No Degree) - Healthcare Administration

Purdue University Global

Vocational Diploma - Medical Assistant

Fortis Institute

High School Diploma -

Western School of Technology And Environmental Science

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SHARNEICE MCTIER