Summary
Overview
Work History
Education
Skills
Certification
LANGUAGES
Timeline
Hi, I’m

TAKIYAH SHEFFIELD

ALACHUA,FL
TAKIYAH SHEFFIELD

Summary

Licensed Pharmacist with over 8 years experience, specializing in medication therapy management and pharmacy operations. Skilled in building strong relationships with healthcare professionals and patients, providing expert patient consultations, verifying prescriptions, and ensuring regulatory compliance to improve clinical outcomes and build patient trust. Dedicated to mentoring and training staff, streamlining pharmacy processes, and utilizing pharmacy software for optimal efficiency.

Overview

7
years of professional experience
1
Certification

Work History

UnitedHealth Group (Contractor)

CLINICAL PHARMACIST, APPEALS AND GRIEVANCES
03.2025 - Current

Job overview

  • Evaluates member appeals and grievances related to medication denials by applying clinical judgment and CMS criteria.
  • Collaborates with physicians, clinical reviewers, and legal/compliance teams to ensure fair and timely determinations.
  • Drafts clear, clinically justified denial and approval letters in alignment with regulatory guidelines.
  • Documents case activity and rationale in claims processing systems and prepares materials for independent reviews.

Hitchcock's Markets

PHARMACIST
08.2024 - Current

Job overview

  • Manages pharmacy operations ensuring compliance and safety standards.
  • Analyzes pharmacy performance metrics to identify areas for improvement. Implement data-driven solutions to optimize workflow and reduce prescription fill times.
  • Drives operational excellence, significantly improving customer satisfaction scores. Implement cost-saving measures without compromising quality of care.
  • Pioneers new procedures to enhance medication accuracy and safety, fostering a culture of continuous improvement in pharmacy operations.
  • Meticulously maintains precise medication and inventory records, ensuring regulatory compliance and operational excellence.

CVS Health

PHARMACY MANAGER
06.2023 - 08.2024

Job overview

  • Ensured the accuracy and appropriateness of all prescriptions filled by completing drug utilization review and quality assurance checks.
  • Fostered strong relationships with healthcare providers, enhancing patient outcomes through effective communication and coordinated care.
  • Drove business growth by identifying and capitalizing on opportunities, resulting in measurable increases in prescription volume and revenue.
  • Mentored and developed pharmacy staff, promoting a culture of continuous learning and professional growth within the team.

Optum Specialty/UnitedHealthcare

SPECIALTY PHARMACIST
06.2021 - 05.2023

Job overview

  • Provided expert guidance on complex medication regimens, fostering patient understanding and adherence to improve health outcomes.
  • Served as a vital link between patients, providers, and internal teams, facilitating seamless communication for effective medication management.
  • Drove patient satisfaction and operational efficiency through accurate prescription verification and timely home delivery coordination.
  • Conducted comprehensive medication reviews, identifying potential interactions and optimizing therapy for complex patient cases.

Memorial Outpatient Pharmacy

PHARMACIST, PRN
11.2019 - 06.2021

Job overview

  • Led bedside delivery consultations and managed emergency department medication dispensing, ensuring timely patient care and optimal pharmacy operations.
  • Partnered with medical staff to provide comprehensive pharmaceutical services, enhancing patient care and community health outcomes.
  • Meticulously oversaw prescription filling and dispensing processes, maintaining accuracy and efficiency in medication management.
  • Optimized pharmacy kiosk system for swift medication dispensing, streamlining discharge processes and improving patient satisfaction.

OptumRx/UnitedHealthcare

HOME DELIVERY PHARMACIST
10.2019 - 06.2021

Job overview

  • Conducted comprehensive medication therapy reviews, ensuring patient safety and adherence to regulatory guidelines while optimizing treatment outcomes.
  • Meticulously verified prescriptions for home delivery, ensuring accuracy and compliance with company protocols and state regulations.
  • Collaborated with healthcare providers to optimize medication therapies, resulting in improved patient outcomes and reduced adverse events.

Aspen RxHealth

MTM PHARMACIST, INDEPENDENT CONTRACTOR
07.2019 - 10.2019

Job overview

  • Served as an advocate for the MTM pharmacy model to introduce and explain the benefits of MTM services to patients and caregivers while delivering MTM services to Medicare patients.
  • Comprehensively reviewed patients’ medication to assess the appropriateness of all medications, optimize medication therapy, identify adherence issues, and improve clinical outcomes.
  • Generated, reconciled and provided personal medication list, patient-specific medication action plan and written communication and feedback to healthcare providers.
  • Diligently assessed medication therapy for unnecessary medications, the need for additional medications, ineffective medications, inappropriate doses, adverse drug reactions, and adherence concerns.

Deltona Pharmacy

PHARMACIST IN CHARGE
12.2018 - 01.2019

Job overview

  • Led pharmacy operations, ensuring regulatory compliance and optimal patient care. Implemented efficient inventory management system, reducing waste and improving profitability.
  • Fostered a team-oriented environment, mentoring staff to enhance their skills. Developed partnerships with long-term care facilities, expanding service offerings.
  • Introduced specialized packaging solutions for long-term care clients, improving medication adherence. Streamlined prescription filling process, reducing wait times.
  • Optimized day-to-day operations, significantly improving customer satisfaction scores. Implemented cost-saving measures without compromising quality of care.
  • Maintained meticulous compliance logs and inventory records. Ensured proper storage and handling of medications, adhering to all regulatory standards.

OptumRx/UnitedHealthcare, Independent Contractor, Adecco Group

CLINICAL PHARMACIST
12.2017 - 05.2018

Job overview

  • Conducted thorough clinical reviews of prior authorization requests, ensuring adherence to member benefits and coverage criteria for optimal drug therapy decisions.
  • Meticulously evaluated and processed prior authorization requests, delivering timely coverage determinations while strictly following regulatory guidelines.
  • Engaged effectively with healthcare providers to gather comprehensive medical records, facilitating informed decision-making for complex authorization cases.
  • Streamlined approval processes by efficiently updating claims systems and preparing clear, concise communication documents for stakeholders.
  • Leveraged clinical expertise to conduct in-depth literature reviews, enhancing the quality and accuracy of coverage determinations for challenging cases.

Education

Florida Agricultural and Mechanical University - College of Pharmacy and Pharmaceutical Sciences
Tallahassee, FL

DOCTOR OF PHARMACY
05.2015

University Overview

Graduated with honors

Skills

  • Medication Therapy Management
  • Customer Service
  • Prescription Verification
  • Patient Consultations
  • Pharmacy Operations
  • Drug Interactions
  • Mentoring
  • Training
  • Pharmacy Software

Certification

  • PHARMACIST LICENSE
  • PS53623
  • Expires 2025-09-30
  • Licensed to Immunize

LANGUAGES

English (Native)

Timeline

CLINICAL PHARMACIST, APPEALS AND GRIEVANCES

UnitedHealth Group (Contractor)
03.2025 - Current

PHARMACIST

Hitchcock's Markets
08.2024 - Current

PHARMACY MANAGER

CVS Health
06.2023 - 08.2024

SPECIALTY PHARMACIST

Optum Specialty/UnitedHealthcare
06.2021 - 05.2023

PHARMACIST, PRN

Memorial Outpatient Pharmacy
11.2019 - 06.2021

HOME DELIVERY PHARMACIST

OptumRx/UnitedHealthcare
10.2019 - 06.2021

MTM PHARMACIST, INDEPENDENT CONTRACTOR

Aspen RxHealth
07.2019 - 10.2019

PHARMACIST IN CHARGE

Deltona Pharmacy
12.2018 - 01.2019

CLINICAL PHARMACIST

OptumRx/UnitedHealthcare, Independent Contractor, Adecco Group
12.2017 - 05.2018

Florida Agricultural and Mechanical University - College of Pharmacy and Pharmaceutical Sciences

DOCTOR OF PHARMACY

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