Tara Dunn
Hatboro,Pa
Summary
Multi-talented pharmacy professional with several years of experience bringing background in financial administration, business development and operations leadership. Skilled at stepping into different areas with flexible and resourceful approach. Visionary project and program leader with exceptional problem-solving skills.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Clinical Program Management Analyst
PerformRx
Philadelphia, Pennsylvania
11.2023 - Current
- Generated ad-hoc reports for CPM managers to support utilization and PA reviews
- Collaborated with cross-functional teams to enhance communication protocols.
- Prepare quarterly QBRs for clients
- Resolved claims issues by investigating discrepancies and collaborating with relevant departments.
- Managed and organized ticketing system for department to enhance workflow efficiency
- Collaborated with other departments to streamline tasks and improve interdepartmental processes
Formulary /DUR Technician
PerformRx
05.2019 - 11.2023
- Review weekly First Data Bank (FDB) and Medispan reports. Make recommendations, submit coding and facilitate communications regarding recommendations to our Formulary department.
- Collaborated with departments to review and code Medicare plans, ensuring compliance and accuracy.
- Aided in coding and testing formulary changes in two claim processor applications.
- Supported CMS and client audits by preparing documentation and facilitating information requests.
Formulary/DUR Technician
PerformRx
01.2013 - 05.2019
- Supported clinical pharmacists in implementation and maintenance of Medicare Part D formularies to ensure compliance and accessibility.
- Designed and ran utilization reports for the Medicare group.
- Created and distributed CMS-required monthly documents, wrote coding, and maintained formulary websites to streamline regulatory compliance.
- Coordinated audit reviews and facilitated quarterly P&T meetings to enhance formulary management and oversight.
Senior Quality Auditor
PerformRx
01.2011 - 01.2013
- Conducted audits of Medicare EOBs and Contact Center performance metrics, verifying compliance and identifying areas for improvement.
Quality Auditor I
PerformRx
06.2009 - 01.2011
- Spearheaded changes to auditing program, enhancing compliance and accuracy.
- Implemented appeal and enhancement program, fostering technician accountability for work accuracy.
Quality Auditor
PerformRx
01.2006 - 06.2009
- Produced and distributed Inter-Rater Reliability Tests for clinical pharmacists since 2006, measuring decision-making and comprehension of formulary criteria across all business lines.
- Created auditing guidelines and testing for pharmacy technicians and clinical pharmacists in the Prior Authorization department.
- Reported findings to Associate Vice President of Clinical Programs monthly, ensuring timely insights into quality assurance.
Pharmacy Prior Authorization Technician
PerformRx
07.2004 - 01.2006
- Reviewed Prior Authorization requests across all lines of business, making informed clinical decisions to ensure compliance and appropriate patient care.
- Conducted training sessions for new technicians, enhancing their understanding of department processes and priorities.
- Transitioned to newly formed Prior Authorization & DUR department, taking on additional responsibilities.
Pharmacy Provider Technician
PerformRx
07.2003 - 07.2004
- Answered provider phone calls in pharmacy operations regarding coverage and prior authorizations, facilitating timely resolution of inquiries.
- Prepared documentation and coordinated schedules for pharmacy project manager during member fair hearings, ensuring organized and efficient processes.
Lead Pharmacy Technician
Snyder’s/Drug Emporium Pharmacy
04.2001 - 07.2003
- Lead pharmacy technician in a store that filled over 400 prescriptions daily.
- Oversaw medication inventory and confirmed deliveries from Cardinal and McKesson, ensuring accuracy and availability of stock.
- Trained technicians on claims filing procedures for insurance compliance, assisting other stores to minimize audit chargebacks.
- Facilitated training sessions in multiple stores for the District Manager.
- Introduced internet access in home store, enabling patients to view pharmacy benefits and understand coverage.
- Plans were being made to start this service in all stores before Drug Emporium’s announced closing in late 2003.
Cashier, Pharmacy Technician
Eckerd Pharmacy
11.1999 - 01.2001
- Worked as pharmacy technician while pursuing Eckerd Pharmacy Technician Certification.
- Coordinated daily deliveries for homebound and elderly patients to ensure timely access to medications.
- Managed the distribution and organization of McKesson orders to streamline inventory.
Cashier
Rite Aid Pharmacy
06.1998 - 11.1999
- Supported front end sales operations, contributing to positive customer experiences.
- Completed pharmacy operations training, acquiring knowledge of medication management and customer service.
Education
Associate of Arts - Healthcare Administration with a concentration in Pharmacy Practice
University of Phoenix – Axia College
Remote 04.2010 - 01/2011
General education - my senior year focused mainly on the sciences taking biology and psychology classes
Saint Hubert High School for Girls
Philadelphia, PA 09.1993 - 01/1997
Some College (No Degree) - Criminal Justice
Pennsylvania State University / Abington College
Abington , PA 02.1997 -
Skills
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
- Tableau
- Data analysis
- Problem solving
- Report generation
- Policy development
- Clinical auditing
- Healthcare compliance
- Process improvement
- Workflow optimization
- Effective communication
- Analytical thinking
Certification
Pharmacy Technician Certification Board, 02/01/28
References
Available Upon Request
References
References available upon request.
Timeline
Clinical Program Management Analyst
PerformRx
11.2023 - Current
Formulary /DUR Technician
PerformRx
05.2019 - 11.2023
Formulary/DUR Technician
PerformRx
01.2013 - 05.2019
Senior Quality Auditor
PerformRx
01.2011 - 01.2013
Associate of Arts - Healthcare Administration with a concentration in Pharmacy Practice
University of Phoenix – Axia College
04.2010 - 01/2011
Quality Auditor I
PerformRx
06.2009 - 01.2011
Quality Auditor
PerformRx
01.2006 - 06.2009
Pharmacy Prior Authorization Technician
PerformRx
07.2004 - 01.2006
Pharmacy Provider Technician
PerformRx
07.2003 - 07.2004
Lead Pharmacy Technician
Snyder’s/Drug Emporium Pharmacy
04.2001 - 07.2003
Cashier, Pharmacy Technician
Eckerd Pharmacy
11.1999 - 01.2001
Cashier
Rite Aid Pharmacy
06.1998 - 11.1999
Some College (No Degree) - Criminal Justice
Pennsylvania State University / Abington College
02.1997 -
General education - my senior year focused mainly on the sciences taking biology and psychology classes
Saint Hubert High School for Girls
09.1993 - 01/1997