Overview
Work History
Summary
Education
Work Availability
Affiliations
Timeline
AdministrativeAssistant
Shenita Outland

Shenita Outland

Clinical Pharmacist
Houston,TX

Overview

17
17
years of professional experience
6
6
years of post-secondary education

Work History

Clinical Pharmacy Advisor, GSO Services

CVS/Caremark
10.2024 - Current
  • Supported Medicare Part D members & providers via the management of complex prior authorization cases

Clinical Pharmacy Advisor, Part D Formulary Services

Cigna Healthcare
11.2012 - 09.2024
  • Identified & analyzed CMS-related compliance issues affecting Part D beneficiaries leading to improved Part D processes
  • Executed all Part D formulary requirements according to Centers for Medicare and Medicaid (CMS) guidelines and standards
  • Ensured timely, accurate and successful monthly and annual formulary submissions to CMS – 100% success rate
  • Actively participated in creating and testing pre-1/1 mock scenarios and reviewing post-1/1 go-live claims leading to the lowest # of go-live issues in Jan
  • 2024
  • Maintained, reviewed and submitted all formulary-related policies and procedures per CMS guidelines
  • Actively served as a clinical resource and presented formulary-related information during annual class review and other clinical subcommittee meetings
  • Built positive interdisciplinary relationships by providing relevant clinical information, current formulary data and excellent customer service
  • Lead pharmacy preparer of departmental NCQA audit
  • Precepted and mentored both students and residents in the area of formulary management and managed care
  • Served as local AMCP Diplomat for both Texas Southern University and University of Houston Colleges of Pharmacy

Relief Pharmacist / Asst. Pharmacy Manager

Wal-mart Pharmacy
11.2007 - 07.2022
  • Helped to improve the medication-use process through proper dispensing and counseling of medications
  • Managed pharmacy licensing procedures, policy implementation, drug inventory, and pharmacy wellness events
  • Assisted in increasing prescription volume, OTC sales and immunization rates
  • Regional training of software updates and new hire RPhs & technicians

Clinical Pharmacy Manager – Health Plan Pharmacy Services; Managed Care Residency Coordinator

Kelsey-Seybold Clinic/KelseyCare Advantage
03.2008 - 08.2012
  • Developed, implemented and managed various clinical programs for KelseyCare Advantage and Kelsey-Seybold Clinic (i.e
  • The Medication Therapy Management (MTM) Program and the RxAdherence Program) that led to improved clinical outcomes, 100% CMS-related MTM compliance and 92% adherence rates for KelseyCare Advantage members
  • Development and oversight of the Kelsey-Seybold Clinic Managed Care PGY1 Residency Program; successfully graduated 5 residents and led 1 reaccreditation cycle
  • Completed monthly Fraud, Waste and Abuse (FWA), Worker’s Compensation and End-Stage Renal Disease audits resulting in a decrease of reported FWA cases
  • Developed, evaluated, reported and otherwise participated in continuous Quality Improvement, Drug Utilization Evaluation, Adverse Drug Reaction reporting, Medication Use, and other projects as assigned

Summary

Innovative professional with expertise in promoting academic, career and social development programs. Possesses excellent communication, problem-solving and organizational skills.

Trusted advisor that goes the extra mile to help individuals succeed. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills.

Education

Pharm.D. - Pharmacy

Xavier University of Louisiana
New Orleans, LA
08.2000 - 06.2006

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Affiliations

  • Junior League of Houston
  • Alpha Kappa Alpha Sorority, Inc.
  • Academy of Managed Care Pharmacy (AMCP)

Timeline

Clinical Pharmacy Advisor, GSO Services

CVS/Caremark
10.2024 - Current

Clinical Pharmacy Advisor, Part D Formulary Services

Cigna Healthcare
11.2012 - 09.2024

Clinical Pharmacy Manager – Health Plan Pharmacy Services; Managed Care Residency Coordinator

Kelsey-Seybold Clinic/KelseyCare Advantage
03.2008 - 08.2012

Relief Pharmacist / Asst. Pharmacy Manager

Wal-mart Pharmacy
11.2007 - 07.2022

Pharm.D. - Pharmacy

Xavier University of Louisiana
08.2000 - 06.2006

Similar Profiles

CREATE PROFILE
Shenita OutlandClinical Pharmacist