Tanayja Y. Sams
Summary
Accomplished pharmacy professional with over eighteen years of experience in enhancing customer service and adherence strategies. Skilled in leading teams to meet regulatory compliance and operational targets, while mentoring peers to foster a culture of excellence. Committed to delivering high-quality service in dynamic environments.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Pharmacy Coordinator II
PA Health & Wellness
Philadelphia
01.2022 - Current
- Developed and implemented strategy to enhance customer service, improve adherence, and streamline reporting.
- Monitor member adherence and conduct outreach attempts to ensure members have easier access to refilling their prescriptions.
- Generated daily reports to evaluate member adherence to HEDIS measures requirements and guidelines.
- Generated daily reports to evaluate member adherence to STARs measures requirements and guidelines.
- Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process.
- Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines.
- Demonstrated intermediate knowledge of Medicare, Medicaid, and Ambetter (Marketplace) Insurance lines of business, enhancing team understanding.
- Develop relevant agendas and lead bi-weekly team meetings.
Pharmacy Coordinator I
PA Health & Wellness
Philadelphia
07.2020 - 01.2022
- Generated daily reports to evaluate member adherence aligned with HEDIS measures, ensuring compliance with requirements and guidelines.
- Generated daily reports to evaluate member adherence aligned with STARs measures, ensuring compliance with requirements and guidelines.
- Monitor member adherence and conduct outreach attempts to ensure members have easier access to refilling their prescriptions.
- Managed provider and pharmacy inquiries regarding prior authorization and formulary processes, facilitating timely resolutions and support.
- Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines.
- Understood Medicare, Medicaid, and Ambetter (Marketplace) Insurance lines of business.
Pharmacy Claims Reviewer
Conduent Payment Integrity Solutions
Cherry Hill
03.2019 - 07.2020
- Analyzed pharmacy records against claim data to detect and resolve discrepancies.
- Reviewed pharmacy documentation against claim data, applying prescription knowledge to identify inaccuracies.
- Utilize specific client instructions, federal and state regulations and standards of practice to properly access pharmacy documentation.
- Research board of pharmacy regulations as well as state and federal laws as they relate to prescription requirements and pharmacy practices.
- Addressed pharmacy inquiries regarding audit outcomes, clarifying results to promote understanding.
- Oversaw daily call center operations to ensure efficiency and quality service.
- Handled incoming and outgoing correspondence to maintain effective communication.
Assistant Supervisor
Wedgewood Pharmacy
Logan Twp.
06.2017 - 03.2019
- Monitored daily and weekly productivity to ensure optimal team performance.
- Ensuring all technicians have adequate work and equipment.
- Supported training of new technicians to enhance team capabilities.
- Identified challenges and implemented solutions to improve workflow.
- Assisting in additional projects to streamline productivity.
- Participating in interdepartmental cooperation.
- Following rules and regulations in accordance with USP 797, USP 795, and USP 800.
- Experience operating machinery in the bulk compounding labs.
Compounding Pharmacy Technician
Wedgewood Pharmacy
Logan Twp.
05.2015 - 06.2017
- Demonstrated knowledge and experience in safety protocols and compounding of chemotherapy medications to ensure patient safety.
- Following rules and regulations in accordance with USP 797, USP 795, and USP 800.
- Compounding specified dosage forms.
- Weighing and measuring active and inactive ingredients for specified dosage forms.
- Exercised attention to detail and followed directions for precise compounding.
- Assure quality of every compounded dosage form.
- Applied basic and intermediate mathematics to ensure accurate measurements in formulations.
- Assisted direct supervisors in creating and completing special tasks that enhanced lab production and efficiency.
- Facilitated initial stages of Electronic Batch Recording implementation to improve documentation accuracy.
- Utilized knowledge of CAP-8 machinery to perform essential operational tasks.
- Executed operation, assembly, and disassembly of PharmaFlex De-Duster for effective cleaning.
- Ensured workspace remained organized and clean for efficient operations.
Pharmacy Technician
Enclara Pharmacia
Philadelphia
03.2014 - 05.2015
- Call Center representative.
- Executed pharmacy data entry to ensure timely processing of prescriptions.
- Handled refill requests for medications.
- Verifying and coding NY prescriptions.
- Created and edited patients’ profiles to maintain up-to-date and accurate records.
- Delivered customer service support to clients, ensuring accurate information and satisfaction.
- Applied computer skills to enhance operational efficiency.
Pharmacy Technician
Rite Aid
Logan Twp.
04.2010 - 05.2015
- Led team of technicians in daily operations, ensuring efficiency and compliance with pharmacy protocols.
- Pharmacy data entry.
- Prepared medications by reconstituting powders according to specifications.
- Followed up on Prior Authorizations to ensure timely processing.
- Insurance billing and problem solving.
- Responded to customer needs, improving satisfaction and fostering loyalty.
- Recorded and managed financial activities, supporting accurate reporting and accountability.
- Applied basic and intermediate math skills in daily tasks.
Pharmacy Technician
CVS Pharmacy
Mantua
06.2007 - 04.2010
- Prescription Data entry.
- Filling and filing prescriptions.
- Ensured accurate medication preparation through reconstitution processes.
- Utilized mathematical knowledge to perform precise calculations and analyze prescription data.
- Insurance billing and problem solving.
- Processed prior authorizations, maintaining follow-up communication to resolve issues efficiently.
- Oversaw financial transactions, ensuring accuracy in money handling and compliance with pharmacy policies.
Education
Bachelor of Science - Healthcare Management
University of Phoenix
05-2026
Skills
- Pharmacy law compliance
- IV preparation
- Quality control
- Healthcare regulations
- Customer service
- Problem-solving
- Troubleshooting
- Fast-paced environments
- Team Leadership
- Staff training
- Team development
- Supervising
- Microsoft Word
- Excel
- Outlook
- PowerPoint
- Effective communication
- Team player
Awards
- National Honors Society
Certification
- National Pharmacy Technician License - PTCB
Timeline
Pharmacy Coordinator II
PA Health & Wellness
01.2022 - Current
Pharmacy Coordinator I
PA Health & Wellness
07.2020 - 01.2022
Pharmacy Claims Reviewer
Conduent Payment Integrity Solutions
03.2019 - 07.2020
Assistant Supervisor
Wedgewood Pharmacy
06.2017 - 03.2019
Compounding Pharmacy Technician
Wedgewood Pharmacy
05.2015 - 06.2017
Pharmacy Technician
Enclara Pharmacia
03.2014 - 05.2015
Pharmacy Technician
Rite Aid
04.2010 - 05.2015
Pharmacy Technician
CVS Pharmacy
06.2007 - 04.2010
Bachelor of Science - Healthcare Management
University of Phoenix