Yasmin Muhamed
Oxford,GA
Summary
Dedicated and detail-oriented professional with extensive experience in healthcare operations, project management, and regulatory compliance. Seeking a challenging position where I can leverage my skills and expertise to effectively interpret policy and regulatory requirements, manage projects, and support Medicare operations.
Overview
12
12
years of professional experience
Work History
Intern Scrum Master
LUMIA STREAM
03.2022 - 02.2024
- Facilitated meetings, acted as a liaison between departments, and provided regular status updates to stakeholders.
- Identify and remove impediments or obstacles that hinder team's progress, ensuring smooth workflow and optimal productivity.
- Reviewed and analyzed project and resource expenditures, ensuring efficient use of resources.
- Developed and executed project plans, managed timelines, resources, and stakeholders, and ensured project goals were met on time and within budget.
- Interpreted policy and regulatory documents, ensured adherence to CMS timelines, and managed compliance activities.
- Monitored and tracked project progress to support timely completion.
- Reviewed and analyzed project data, evaluated KPIs, and provided insights to support decision-making.
Clinical Review Operation Tech
PRIME THERAPEUTICS
11.2016 - 08.2021
- Leveraged extensive Part D operations experience to mentor technicians and enhance their skills, focusing on areas for quality improvement.
- Served as a primary point of contact for technicians and pharmacists, providing guidance and addressing inquiries related to Part D operations.
- Conducted Nesting classes as a subject matter expert, guiding a team of more than 15 technicians to ensure alignment with CMS policies and regulations.
- Collaborated closely with Leads to ensure timely resolution of cases within specified time frames, demonstrating proficiency in Excel to analyze data and monitor progress.
- Accurately identified prevalent error trends and proposed strategies for process enhancement, utilizing knowledge of Pharmacy Benefit Manager (PBM) basic structure and processing systems.
- Provided coaching to technicians through observation and identification of resource utilization gaps, contributing to the development and implementation of operational procedures.
- Managed delegation of GNW and other pilot projects aimed at enhancing operational efficiency, utilizing comprehensive understanding of CMS policies and regulations.
Senior Pharmacy Technician
WALMART PHARMACY
06.2012 - 10.2016
- Utilized full range of services by accurately filling and dispensing an average of 200 prescriptions per day.
- Provided patients and health care providers exceptional service by addressing questions and concerns.
- Effectively resolved insurance rejections and other billing matters.
- Carried out detailed weekly reports to ensure quality and production standards are met.
- Revamped outdated inventory, checked for expiration and processed outdated inventory to manufacturer.
Education
NHA ExCPT Pharmacy Technician -
Granite Technical Institute
Salt Lake City, UT02.2024
High School Diploma -
Taylorsville High School
Salt Lake City01.2011
Skills
- Exceptional communication abilities
- Effective Project Management skills
- Pharmacy claims processing
- Experience with data analysis
- Advanced Microsoft Excel skills
- Proficient in CMS (Medicare Part D)
Timeline
Intern Scrum Master
LUMIA STREAM
03.2022 - 02.2024
Clinical Review Operation Tech
PRIME THERAPEUTICS
11.2016 - 08.2021
Senior Pharmacy Technician
WALMART PHARMACY
06.2012 - 10.2016
NHA ExCPT Pharmacy Technician -
Granite Technical Institute
High School Diploma -
Taylorsville High School
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