Shereynae Villalobos
Houston,TX
Summary
Accomplished and certified Pharmacy Technician with over 14 years of experience in healthcare operations and project coordination. Proven expertise in managing complex projects, ensuring compliance, and enhancing organizational efficiency. Seeking to leverage my background in healthcare project management and my proficiency in technology tools to contribute to the IS PMO team's success.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Prior Authorization Rep
UnitedHealth Group
08.2018 - Current
- Led the documentation and maintenance of Fee for services (FFS) jobs aids, emphasizing compliance, to ensure representatives are achieving a 100% compliance rate with healthcare regulations.
- Acted as a Subject Matter Expert (SME) to over 150 representatives, improving team knowledge and competency in healthcare compliance and patient care standards.
- Designed and facilitated training programs for new clients.
- Coordinated healthcare-specific project meetings, ensuring the inclusion of all relevant colleagues, and improving project outcomes in the Prior Authorization department.
- Submit daily management reports to Prior Authorization Production Supervisors and Managers, providing a comprehensive summary of Service Level Agreement (SLA) performance and Service Volume Level (SVL) objectives for Fee-For-Service (FFS) Medicaid.
- Fostered team engagement and ensured the completion of tasks and achievement of performance goals in alignment with team metric requirements, including Quality, Adherence, Service Level, and Average Handle Time (AHT).
- Played a key role in engaging and motivating the team, leading to a 20% improvement in task completion rates and performance goals.
- Managed prior authorization requests efficiently, ensuring compliance with policy and timely processing.
Pharmacy Technician
Mayo Clinic
03.2019 - 08.2019
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Counted, measured, and compounded medications following standard procedures.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient
information. - Consulted with insurance company representatives to complete claims processing, resolve concerns and
reconcile payments. - Set up and modified patient profiles in EPIC to include current information such as medications and
insurance details.
Pharmacy Operations Technician
Emory University Hospital
12.2012 - 08.2019
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards
posed to staff and residents for continued compliance with associated regulations. - Direct day-to-day administrative and operational functions for 679-bed facility, providing guidance and
leadership to over 50 employees across more than 4 departments. - Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and
continuing education to employees. - Coordinated verification and filling of more than 700 daily prescriptions in high-volume inpatient
pharmacy environment. - Restocked automated medication dispensing equipment.
- Prepared intravenous solutions, admixtures, respiratory drugs and other solutions using aseptic
techniques. - Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Stocked, labeled and inventoried medication to keep accurate records.
Education
Bachelor of Science - Business Administration And Management
University of Houston
Houston, TX05.2026
Skills
- Project Leadership
- Quality Assurance
- Communication & Interpersonal Skills
- Technology Proficiency
- Task Management & Resource Allocation
- Operational Efficiency
- Healthcare Compliance
- Issue Resolution
- Proficient in collaborative teamwork
Certification
- CPhT - Certified Pharmacy Technician
- Project Management Professional (PMP) certification (In progress)
Timeline
Pharmacy Technician
Mayo Clinic
03.2019 - 08.2019
Senior Prior Authorization Rep
UnitedHealth Group
08.2018 - Current
Pharmacy Operations Technician
Emory University Hospital
12.2012 - 08.2019
Bachelor of Science - Business Administration And Management
University of Houston
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