Summary
Overview
Work History
Education
Skills
Training
Timeline
Generic

Sheretta Mckee

McCalla,USA

Summary

Dynamic Pharmacy Configuration Specialist II at RxBenefits with expertise in AS400 and a proven track record in benefits administration. Adept at managing complex client projects, ensuring timely execution, and enhancing operational efficiency. Recognized for exceptional client communication and meticulous attention to detail, driving successful outcomes in high-pressure environments.

Overview

25
25
years of professional experience

Work History

Pharmacy Configuration Specialist II

RxBenefits
Birmingham, AL
07.2022 - Current
  • Participate in multiple client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented
  • Serves as the configuration expert on the following projects: new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and various benefit change requests
  • Work with internal stakeholders and PBM partners to configure and input the benefit as defined by the Pharmacy Design Consultant
  • Responsible for the end-to-end execution and communication related to minor/routine benefit changes
  • Complete the first level review of the data gathering process for new client implementations which includes: initial review of incumbent plan documents and data input into the necessary systems
  • Attends internal calls as needed to support issue resolution
  • Complete and/or create configuration documents (PBC, PBM specific docs, etc.)
  • Prepare and generate member communication material
  • Apply working knowledge of RxBenefits and PBM products/features to support incoming work requests
  • Work with internal/external teams to successfully execute the assigned tasks (PBM partners, Data Integration, Data Operations, Mail Room, Quality, Operations Excellence)
  • Track and log defined tasks and deliverables within Clarizen
  • Completes work in production-based environment that is measured against timeliness and accuracy
  • Appropriately support the risk management team and the Client Command Center process
  • Meet KPI goals as defined by Operations leadership and department

Benefit Administration Specialist

RxBenefits
Birmingham, AL
05.2021 - 07.2022
  • PBM Liaison for all operational changes and implementations
  • Attended all operational PBM calls and provided support to assist with closure of open items
  • Assisted with the identification of client issues by working with multiple internal departments
  • Managed open items submitted to the PBM
  • Gathered business requirements as necessary and applied detailed working knowledge of RxBenefits standard products and features to support the AM or SAEs requests
  • Created configuration documents (SOB, CRD, SBC, Project Plans, GIS, etc.) for setup in RxBenefits systems
  • Trained in PBM reporting systems and stayed educated on all forms and processes each PBM had for implementing new groups and making changes to existing groups
  • Analyzed complex problems and interpreted client materials appropriately
  • Worked with Implementation and Quality Analyst where necessary, to assist with testing process to ensure integrity of data conversions prior to go-live
  • Tracked tasks accomplished, time spent, and milestones completed using internal RxBenefits tools
  • Logged issues into company systems to ensure appropriate process flow
  • Assisted with identification of risks, and with development of mitigation or avoidance plans
  • Communicated with AM or SAEs throughout the operational change’s life cycle
  • Assisted AM or SAEs with operational questions and participate in client calls when requested
  • Worked collaboratively with internal and external business partners to provide solutions by taking responsibility for following through and bringing outstanding issues to closure.

Client Services Associate II

RxBenefits
Birmingham, AL
08.2020 - 05.2021
  • Worked closely with clients, brokers, and Account Managers to ensure issues were resolved accurately and timely.
  • Assist AM or SAEs with complex member or client issues.
  • Assist with the identification of client issues by working with multiple internal departments.
  • Review configuration documents (SOB, CRD, Project Plans, GIS, etc.) for setup in RxBenefits systems.
  • Manage open items submitted to the PBM.
  • Gather business requirements as necessary and apply detailed working knowledge of RxBenefits standard products and features to support the AM or SAEs requests.
  • Log issues into company systems to ensure appropriate process flow.

Client Services Associate I

RxBenefits
Birmingham, AL
06.2019 - 08.2020
  • Worked closely with clients, brokers, and Account Managers to ensure issues were resolved accurately and timely.
  • Worked collaboratively with internal and external business partners to provide solutions by taking responsibility for following through and bringing outstanding issues to closure.
  • Reviewed setup documents to track and research issues to confirm client intent and to help with issue resolution.
  • Addressed any questions that may have risen with enrollment or eligibility information with appropriate contacts.
  • Identified any potential quality issues per defined process and escalated potential quality issues immediately to management.
  • Logged issues into company systems to ensure appropriate process flow and for management reporting.

MSR I

RxBenefits
Birmingham, AL
07.2018 - 06.2019
  • Professionally handled a high volume of complex inbound pharmacy calls, focusing on quality and first call resolution.
  • Responded to customer questions concerning a variety services and assisted with difficult callers when necessary.
  • Support 136 escalations line assisting internal representatives with complex calls.
  • Assist management by volunteering with training and other duties as needed.

Team Lead

Schnell Ecke Logistics
Vance, AL
09.2016 - 07.2018
  • Managed a team of sixteen individuals in making sure production build were made and followed properly.

Team Lead

BLG Logistics
Vance, AL
09.2015 - 09.2016
  • Team lead of AGT/ Dock made sure sequence racks and delivery trucks were being loaded and parts being delivered on time to Mercedes.
  • Managed about 20 employees.

Team Lead

BLG Logistics
Vance, AL
09.2014 - 09.2015
  • Auditor Team Lead. Managed workflow of three shifts of Auditors.
  • Made sure the process was followed and re-training was done when needed.

Assembler

BLG Logistics
Vance, AL
09.2012 - 09.2014
  • On a weekly basis responsible for final inspection of parts, package parts according to work instruction.
  • Sequence parts for Mercedes, Cycle counting using SAP software, Scan parts into sequence racks, Follow and enforce all plant safety rules and policies, and ensure equipment meets OSHA regulations.

Call Center Rep

DST Health Solutions Inc
Birmingham, AL
09.2011 - 09.2012
  • Via the telephone, Health Care Call Center representative accurately respond to and process customer inquiries and request into the appropriate system or database while following established policies and procedures and contractual obligations.
  • Use sound Judgement to resolve customer billing inquiries, analyze account history and make appropriate changes, handle request from customers and pharmacist, handle escalated calls as needed.

Team Lead

CVS Caremark Corporate Office
Birmingham, AL
09.2008 - 09.2011
  • Managed workflow properly, and assisted employees reaching company goals.
  • Operated Mav lit, UPM, tote dump, and Opti fill machines.
  • Responsible for end of shift close out reporting, ordered pallets and boxes, assured assembly line was not backed up, oversaw schedules and approved vacation requests, prepared shipment for postal and determined most economical shipping method, conducted five-minute meeting regarding error, attended conference calls, prepared packages for shipment/load trucks.

Client Service Coordinator

CVS Caremark Pharmacy
Birmingham, AL
09.2007 - 09.2008
  • Resolved customer problems such as missed shipments, price adjustments, and back orders.
  • Worked with all areas of the pharmacy to ensure that the order process ran smoothly.
  • Processed all phone, fax, mail, e-mail, and verbal orders from clients.
  • Provided clients with accurate answers to questions and complaints regarding services.
  • Performed data entry for processing orders, accessing previous orders for research, and other inquires, as requested.
  • Entered prior authorization using AS400 and CICS.
  • Communicated with all departments in the facility and served as liaison between the client and the pharmacy.

Pharmacy Technician

Caremark Rx Inc
Birmingham, AL
09.2000 - 09.2007
  • Handled customer issues through use of STARS and MRE.
  • Logged non-conformance and placed member calls to verify information.
  • Traveled for the company with the links conversion operation.
  • Trained employees in the department on the new links system.
  • Filled prescriptions by using Opti fill, unit of use and manual pick.
  • Stocked areas with supplies.
  • Attended conference calls, participated, and volunteered for projects/assignments to improve understanding, and checked for and communicated daily prescription source updates to staff in a timely manner.

Education

Advanced Academic Diploma -

Brighton High School
Brighton
01.1990

Skills

  • AS400 platform expertise
  • Customer Information Control System (CICS)
  • QL3270 terminal
  • SAP software
  • PeopleSafe platform
  • Occupational Safety and Health Administration (OSHA) compliance
  • Avaya systems
  • MyAWD system
  • GUI design
  • Polycom legacy system
  • Unity engine
  • Telephony management solutions
  • Microsoft Office
  • Mobile systems
  • Salesforce platform
  • Qlik reporting
  • Excel
  • Documentation creation
  • Client communication
  • Benefits administration
  • Quality assurance
  • Task tracking
  • Customer support
  • Multitasking Abilities
  • Gather project requirements
  • Attention to detail

Training

Computer skills AS400, CICS, QL3270, SAP, Links/Peoplesafe, OSHA Compliance, Avaya, myAWD, GUI, Legacy Polycom, Unity, CMS phone system Microsoft Office, Mobsy, Salesforce, Qlik, Excel

Timeline

Pharmacy Configuration Specialist II

RxBenefits
07.2022 - Current

Benefit Administration Specialist

RxBenefits
05.2021 - 07.2022

Client Services Associate II

RxBenefits
08.2020 - 05.2021

Client Services Associate I

RxBenefits
06.2019 - 08.2020

MSR I

RxBenefits
07.2018 - 06.2019

Team Lead

Schnell Ecke Logistics
09.2016 - 07.2018

Team Lead

BLG Logistics
09.2015 - 09.2016

Team Lead

BLG Logistics
09.2014 - 09.2015

Assembler

BLG Logistics
09.2012 - 09.2014

Call Center Rep

DST Health Solutions Inc
09.2011 - 09.2012

Team Lead

CVS Caremark Corporate Office
09.2008 - 09.2011

Client Service Coordinator

CVS Caremark Pharmacy
09.2007 - 09.2008

Pharmacy Technician

Caremark Rx Inc
09.2000 - 09.2007

Advanced Academic Diploma -

Brighton High School

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Sheretta Mckee