Zaynab Abbour
West Bloomfield
Summary
Doctor of Pharmacy with experience spanning remote clinical review, prior authorization, and high-volume pharmacy operations. Proven ability to deliver accurate, compliant, and patient-centered care while navigating complex coverage determinations and digital clinical workflows. Licensed pharmacist with strong expertise in medication therapy management, telepharmacy platforms, and utilization review, recognized for clinical judgment, efficiency, and adaptability in fully remote environments.
Overview
5
5
years of professional experience
4
4
Certifications
Work History
Remote Prior Authorization Pharmacist
Optum Rx (UnitedHealth Group)
Remote
10.2025 - Current
- Conduct comprehensive prior authorization reviews for Medicare, Medicaid, and commercial plans, ensuring compliance with CMS guidelines, plan policies, and evidence-based clinical criteria.
- Evaluate medical necessity for specialty, high-cost, and Part B vs. Part D medications, applying clinical judgment to approve, modify, or deny requests.
- Interpret clinical documentation, laboratory results, progress notes, and provider submissions to support coverage determinations.
- Document determinations accurately within enterprise PA systems, while maintaining productivity, quality, and turnaround time standards.
Pharmacist
Walgreens Pharmacy
Sarasota
10.2024 - 09.2025
- Delivered safe, efficient, and compassionate care in a fast-paced retail setting.
- Verified prescriptions, managed immunizations, and provided counseling for chronic and acute conditions.
- Contributed to improved workflow efficiency and enhanced patient satisfaction scores.
- Maintained accurate, up-to-date patient profiles and ensured regulatory compliance.
Pharmacy Intern
Publix Pharmacy
Sarasota
08.2020 - 06.2024
- Completed 4-year pharmacy internship while pursuing PharmD.
- Assisted pharmacists with medication verification, MTM services, and inventory control.
- Built trust with patients through approachable education and adherence coaching.
- Trained and mentored newer interns and technicians.
- Supported pharmacists with prescription processing, insurance billing, and customer service.
- Developed deep knowledge of pharmacy operations and HIPAA compliance.
- Recognized for reliability and strong interpersonal communication with diverse patient populations.
Education
Doctor of Pharmacy - PharmD
Lake Erie College of Osteopathic Medicine (LECOM)
Bradenton, FL06.2024
Skills
- Prior authorization and utilization management
- Remote clinical review and patient counseling
- Medication therapy management (MTM)
- Medicare Part B vs Part D coverage determination
- Prescription verification and clinical safety review
- Medication adherence and outcomes optimization
- Telepharmacy and remote clinical platforms
- Clinical documentation and case management
- Time management and productivity in remote settings
- HIPAA compliance and regulatory standards
Certification
Licensed Pharmacist — Florida & Michigan
Timeline
Remote Prior Authorization Pharmacist
Optum Rx (UnitedHealth Group)
10.2025 - Current
Pharmacist
Walgreens Pharmacy
10.2024 - 09.2025
Pharmacy Intern
Publix Pharmacy
08.2020 - 06.2024
Doctor of Pharmacy - PharmD
Lake Erie College of Osteopathic Medicine (LECOM)