Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

TAMICA JOHNSON

Colerain,Ohio

Summary

Pharmacy Business Analyst with 19+ years of Pharmacy Business Management experience. I am PTCB certified as a Pharmacy Technician for more than 15 years. I have worked with Pharmacy data analysis and auditing for more than 8 years. I have considerable knowledge in most areas of PBM. Professional Data or Business Analyst position in Pharmaceutical Industry

Overview

3
3
years of professional experience
1
1
Certification

Work History

Pharmacy Business Analyst/Manager

Mullaney's Guardian Pharmacy, 11930, Springs Dr
02.2022 - Current
  • Data analysis
  • MS Excel (VLOOKUP's, Pivot tables etc.), minimum SQL Querying
  • Identify opportunities for improvement
  • Prepares and performs claim audits for LTC Pharmacy and DME
  • Medicare/Medicaid and All other Carriers Claims Audit/Analysis
  • Manages DME Billing Team- Provides day to day leadership
  • Supports DFA as needed to ensure budget and forecast accuracy
  • Policy development and Implementation
  • Track and Identify trends in DME and Pharmacy Areas
  • Performs Cost/Benefit analysis LTC
  • Assists with education of process changes and developments
  • Analyze and recommend design improvements to business processes
  • Provides oversight of policies, procedures and systems to ensure that The Organization is meeting compliance and regulatory requirements through completion of regularly scheduled audits (e.g., appeal audits, denial audits)
  • Project management
  • Analyzed data to identify root causes of problems and recommend corrective actions
  • Developed customized reports, summarizing and presenting data in visually appealing format
  • Provided technical support for troubleshooting analytics and reporting issues
  • Identified patterns and trends in large data sets and provided actionable insights
  • Generated standard and custom reports to provide insights into business performance
  • Implemented business intelligence solutions to increase operational efficiency
  • Generated ad-hoc reports to evaluate specific business requirements.

B Pharmacy Auditor

Bon Secours Health System, Inc
06.2020 - 02.2022
  • Data Analysis
  • Data Auditing of 340B Claims for multiple hospitals/clinics
  • Report and Monitor 340b claims compliance
  • Provide reports of impacts and liabilities
  • Ensures that facilities maintain adherence to 340B Program regulations and guidelines
  • Ad Hoc Projects
  • Provide support for all covered entities enrolled in 340B program
  • Monitoring utilization records
  • Identify trends/errors/patterns in claims
  • Data Analysis 340B split billing software experience
  • Make recommendations on findings
  • Partnered with auditors to track errors and add contributions to maintain accuracy.

Education

Associate of Science - Paralegal Studies

Brown Mackie College
Cincinnati, Ohio
09.2006

Skills

  • Internal Audit Reviews
  • Data Analysis
  • MS Excel (VLOOKUP's, Pivot tables etc)
  • Meeting with Payors and Reps
  • Connect Care Systems- Proficient
  • Walmart Pharmacy
  • Business Strategies
  • Department Development
  • Customer Experience
  • Business Tracking
  • Work Organizing and Prioritizing
  • Standard Operating Procedure
  • Administration and Management
  • Fraud Detection
  • Customer Inquiries
  • Expense Reduction
  • Corrective Actions
  • Cost Savings
  • Process Flow Diagram Development
  • Workflow Processes
  • Client Meetings
  • Administrative Support
  • Trend Data Analysis
  • Training Program Development
  • New Project Development
  • Office Operations
  • Analyst Relations
  • Enterprise Applications
  • Strategic Initiatives
  • Accounts Payable and Accounts Receivable
  • Project Scheduling
  • Payment Collection
  • Financial and Economic Data
  • Data and Analytics

Certification

Certified Pharmacy Technician , PTCB 2008-Current Six Sigma White Belt Certified 2023 Introduction to Data Science Certification 2023

Timeline

Pharmacy Business Analyst/Manager

Mullaney's Guardian Pharmacy, 11930, Springs Dr
02.2022 - Current

B Pharmacy Auditor

Bon Secours Health System, Inc
06.2020 - 02.2022

Associate of Science - Paralegal Studies

Brown Mackie College

Similar Profiles

CREATE PROFILE
TAMICA JOHNSON