Tinisha Murray

• Provide inspirational leadership and guidance to the team through feedback, performance management and development conversations

• Assist in the preparation and deliver performance reviews

• Manage attendance, schedule adherence, off - phone activities, quality and other dimensions of a team member's performance to identify and coach areas of opportunity

• Work collaboratively with the Prior Authorization Manager(s), business segments, Work Force Management (WFM), and other PA Supervisors in all aspects of clinical operations including performance management, process improvement, disciplinary actions, hiring decisions and budgetary consultation and workflow management

• Dealing with enforcement of company policies and procedures, and the security and protection of company assets

• Work with peers / staff from other sites to create, modify and ensure standardized procedures

• Prioritizes and coordinates work, provides leadership and reviews work of assigned staff

• Implement projects as assigned by the Manager/Assistant Director
• Meet with the Prior Authorization Management team weekly to report on clinical call center performance and personnel issues
• Works to optimize standardized procedures and improve efficiency of subordinates

• Supervised 25 pharmacy technicians and coordinated day-to-day assignments.
• Collaborated with operations manager/directors to maintain daily operations for Medicare Coverage Determinations and Appeals and Medicaid Plans
• Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
• Spearheaded and implemented new projects to expand scope of engagement.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Recruited, hired and trained staff, providing direct supervision, ongoing staff development and continuing education to employees.

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
• Verified eligibility and compliance with authorization requirements for service providers.
• Processed new medication and refill requests for authorization.
• Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
• Evaluated clinical criteria for approval or denial of services requiring pre-authorization.