Viviannette Bajandas Santiago
Vega Alta,PR
Summary
Strategic Pharmacy Senior Manager with 10+ years of progressive leadership experience in managed care pharmacy. Expertise in pharmacy operations, Coverage Determinations, Prior Authorization, utilization management, pharmacy benefit implementation, regulatory compliance, and operational excellence across Medicare, Medicaid, and Commercial lines of business. Experienced leading an organization through frontline leaders while driving quality, productivity, cross-functional collaboration, vendor management, and continuous process improvement.
Overview
1
1
Certification
10
10
years of professional experience
Work History
Pharmacy Senior Manager
Triple-S Salud
San Juan
10.2023 - Current
- Provide strategic leadership for pharmacy operations across Medicare, Medicaid, and Commercial lines of business.
- Lead an organization of approximately 43 pharmacy professionals through 2 Pharmacy Managers and 2 Pharmacy Specialist.
- Oversee Coverage Determination and Prior Authorization operations while ensuring regulatory compliance and operational excellence.
- Lead pharmacy benefit implementation projects and operational readiness initiatives.
- Develop SOPs, workflows, and process improvement initiatives to improve quality and efficiency.
- Monitor KPIs, productivity, turnaround times, quality metrics, and service performance.
- Partner with executive leadership, providers, vendors, and cross-functional stakeholders.
- Support CMS and URAC audit readiness and compliance activities.
- Coach and develop leaders while fostering a culture of accountability and continuous improvement.
Pharmacy Operations Manager
Triple-S Salud
San Juan
02.2020 - 09.2023
- Managed pharmacy operations supporting Commercial and Medicaid business lines.
- Supervised pharmacy staff and daily operations.
- Developed policies, procedures, and operational workflows.
- Supported formulary management, utilization management, and prior authorization programs.
- Managed vendor relationships and quality improvement initiatives.
- Participated in CMS and URAC audits.
- Oversaw pharmacy workflow to enhance operational efficiency and service delivery.
- Developed training programs for staff to ensure compliance with regulatory standards.
- Analyzed pharmacy operations data to identify trends and drive strategic decision-making.
Clinical Pharmacist
Triple-S Salud
San Juan
05.2017 - 01.2020
- Performed clinical reviews and prior authorization evaluations.
- Reviewed drug regimens to ensure patient safety and therapeutic efficacy.
- Analyzed clinical data to drive evidence-based decisions in pharmacotherapy management systems.
- Mentored pharmacy students and pharmacy technicians, fostering a supportive learning environment that promoted professional growth.
Staff Pharmacist
Walgreens
Toa Alta
09.2016 - 04.2017
- Checked prescriptions for appropriate dosage, drug interactions, allergies and contra-indications before dispensing medications.
- Provided medication therapy management to patients using Outcomes.
- Optimized medication dispensing processes, enhancing workflow efficiency and patient care.
Education
Doctor of Pharmacy -
Nova Southeastern University
San Juan05.2016
Master of Public Health -
University of Puerto Rico Medical Sciences Campus
San Juan05.2012
Bachelor of Science - Human Biology
University of Puerto Rico At Bayamón
Bayamón05.2011
Skills
- Operations management
- Cross-functional collaboration
- Strategic planning
- Coverage Determinations
- Medicare Part B & Part D
- Medicaid Pharmacy Benefit
- Commercial Pharmacy Benefit
- Benefits Implementation
Certification
- Active Licensed Pharmacist – Puerto Rico
- Active Licensed Pharmacist - Florida
- Leadership Essentials Certification
Timeline
Pharmacy Senior Manager
Triple-S Salud
10.2023 - Current
Pharmacy Operations Manager
Triple-S Salud
02.2020 - 09.2023
Clinical Pharmacist
Triple-S Salud
05.2017 - 01.2020
Staff Pharmacist
Walgreens
09.2016 - 04.2017
Doctor of Pharmacy -
Nova Southeastern University
Master of Public Health -
University of Puerto Rico Medical Sciences Campus
Bachelor of Science - Human Biology
University of Puerto Rico At Bayamón