Takkia Ralph
Miami Gardens,FL
Summary
Skilled Specialist with expertise in project management, problem-solving and team leadership. Strengths lie in ability to efficiently manage multiple tasks, develop strategic plans and ensure successful execution of operational goals. Previous experience led to significant improvement in workflow processes and overall performance efficiencies. Demonstrated skills include adaptability, negotiation and strong communication abilities.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Medication Adherence Specialist
ChenMed Corporate
01.2019 - 12.2025
- Assists with HEDIS Part D initiatives including Medication Adherence, High Risk Medications and other HEDIS measures.
- Modifying insurance rejections
- Contact patient to ensure they are refilling medications on time
- Adds new users, including physicians, and resets passwords as needed
- Advises on any deficiency, discrepancy in medication dispensing Process and Protocol
- Medicare, Medicaid and Insurance Claims processing
- Pharmaceutical Calculations
- Medical and Pharmaceutical Terminology
- Medication Inventory Management
- FDA Compliance
- Prescription Processing
Patient Care Coordinator
Briova Specialty Pharmacy
01.2017 - 12.2018
- Prior authorizations
- Adjudication of medical claims
- Setting up patient orders for disease states
- Contacting doctors, and patients
- Reshipment of orders
- Ensuring patient receive the care they need
- Understand patient medical conditions, medications and instructions.
Senior Pharmacy Technician III
OptumRx
01.2012 - 12.2016
- Reading and interpreting prescriptions
- Contacting doctors and patients
- Extensive knowledge of Medicare claim, medication preparation and medical terminologies
- Worker's Compensation
- Adjudication of medical claims
Pharmacy Technician
CVS Pharmacy
04.2005 - 02.2013
- Reading, interpreting, and dispensing prescriptions
- Answering phones and addressing patient's concerns
- Helping customers daily basis and patient outreach inbound/outbound calls
Education
Bachelor of Arts - Communications
Florida International University
High School Diploma -
Miami Killian Senior High
Skills
- Leadership
- Insurance Verification
- Project Management
- HEDIS
- Pharmacy Technician
- Customer Service
- Claims Processing
- ICD-10
- ICD-9
- EMR Systems
- Data Entry
- Reliability
- Stress Management
Certification
- Registered Pharmacy Technician
- Pharmacy Technician License
Timeline
Medication Adherence Specialist
ChenMed Corporate
01.2019 - 12.2025
Patient Care Coordinator
Briova Specialty Pharmacy
01.2017 - 12.2018
Senior Pharmacy Technician III
OptumRx
01.2012 - 12.2016
Pharmacy Technician
CVS Pharmacy
04.2005 - 02.2013
Bachelor of Arts - Communications
Florida International University
High School Diploma -
Miami Killian Senior High