Steve Penagos
Los Angeles,CA
Summary
Determined individual with over 11 years in a pharmacy benefit manager setting, using critical thinking and a self-driven mindset; cooperative with others to help endure any challenges. Eager to collaborate and accomplish any complex objective; and utilizing great communication, analytical and organizational skills. Pursuing to exercise these qualities and skills in areas of study in a proficient, effective and professional approach.
Overview
15
15
years of professional experience
Work History
Associate Account Manager Client Services | Benefit Consultant
Optum Rx
Remote
03.2023 - 02.2026
- Explaining Benefits offered by Optum to External Clients such as deductibles, out of pocket, special programs and accumulators.
- Presenting Benefits from Pharmacy Benefit Summary documents provided from clients.
- Used RxComet Application for setting up Benefit Plans.
- Setting up and Joining Meetings with our Internal Implementation Project Managers to Coordinate Benefit Plan Structures.
- Using ServiceNow application to organize projects of clients and making sure there is timely completion of each client.
- Monitoring client projects with Change Order Form and resolving any requested benefit changes.
Business Operations Specialist, PA Correspondence QA | Marketing Operations & Technology
Optum Rx
Remote
11.2021 - 03.2023
- Prior Authorization Correspondence Quality Assurance.
- Testing PASBZD Scenarios to ensure correct provider and member information is generating within correspondence.
- Ensuring Client requests are met and making sure all fax and telephone numbers are correct.
- Making Corrections to Audit Errors and doing Root Cause Analysis.
- Utilizing WorkFront to Manage time, Projects and Track workflow.
BPM Ops / Prior Authorization Content Management / Correspondence Specialist / Fulfillment Services / Marketing Operations
OptumRx
Remote
08.2016 - 10.2020
- Worked with NewLeaf / Printsoft Applications to update PA and Appeals Correspondence Content.
- PAS UAT , Trial and Error Test Cases to make sure they are working properly.
- Root Cause Analysis / Troubleshoot Live Cases from Production to find defects and fix.
- Mapping in BizAdmin PAS UAT of Rulesets / Decision Trees and Decision Tables.
- Worked all Lines of Business, Part D, CTRx, Freshstart, C&S / Americhoice, Etc.
- Worked very Closely with RR Donneley and became a leader for Standard Commercial tasks as of March 2020.
- Trained many employees in becoming a subject matter experts through Webex meetings.
- Supervised tasks using Service Now with Reports during team transitions.
- Worked with Project Managers to implement client correspondence for PA/Appeals.
- In RRD, proficient in conditioning variables and Mapping in PAS BZD.
- Telecommuter Work at Home as of 2016
Certified Pharmacy Technician/ Customer Advocate in Prior Authorization Department
OptumRx
Remote
11.2013 - 08.2016
- Experienced Customer Advocate; Customer Service.
- Completed Prior Authorizations Via Fax and Phone with many Prescribers, Pharmacies, and Members.
- Used Programs Such as RxHD, AS400 (RXClaims), PAS, and RxML to complete Prior Authorizations.
- Inputted Computer Data.
- Read Prescriptions Via Faxes.
Pharmacy Volunteer
San Gabriel Valley Medical Center, AHMC
San Gabriel, California
05.2011 - 05.2011
- Assist Pharmacists and Pharmacy Technicians in a Hospital Pharmacy Setting.
- Credit/Input computer data such as returned IVs and Unit-Dose medications.
- Label Injections. Restock IV's & help maintain inventory Control with returned medication.
- Strike out labels on returned medication to be able to discard patient information properly.
- Help distribute IV's to send to Intensive Care Unit, Surgery Holding and Hospital Towers.
Education
Associate of Science - Social And Behavioral Sciences
Pasadena City College
Pasadena06.2026
Pharmacy Technician - Pharmacy Technician
Boston Reed College
Whittier05.2010
Skills
- Proficiency with Microsoft Suite, 90 WPM Typing Speed
- Critical Thinking, Root Cause Analysis, and Problem Solving
- Experience with presenting to external clients or partners
- Experience with Pharmacy Benefit Management
- Experience with User Acceptance Testing
- Business development
- Operations
- Data-driven decision making
Timeline
Associate Account Manager Client Services | Benefit Consultant
Optum Rx
03.2023 - 02.2026
Business Operations Specialist, PA Correspondence QA | Marketing Operations & Technology
Optum Rx
11.2021 - 03.2023
BPM Ops / Prior Authorization Content Management / Correspondence Specialist / Fulfillment Services / Marketing Operations
OptumRx
08.2016 - 10.2020
Certified Pharmacy Technician/ Customer Advocate in Prior Authorization Department
OptumRx
11.2013 - 08.2016
Pharmacy Volunteer
San Gabriel Valley Medical Center, AHMC
05.2011 - 05.2011
Associate of Science - Social And Behavioral Sciences
Pasadena City College
Pharmacy Technician - Pharmacy Technician
Boston Reed College