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Work Background
Centene CorporationClinical Pharmacist
Oct. 2024
CVS CaremarkPrior Authorization Pharmacist
Oct. 2023 - Aug. 2024Olathe, Kansas, United States-Oversee referrals, address clinical inquiries, and gather necessary information for thorough clinical evaluations, collaborating closely with technicians and team members. -Evaluate and decide on prior authorization requests, using clinical guidelines and plan specifics to ensure optimal patient outcomes and compliance. -Verify patient insurance coverage and eligibility, consult with healthcare professionals, and apply my clinical expertise to provide precise and timely authorizations. -Communicate case decisions to healthcare providers, patients, and health plans, ensuring all parties are informed according to established procedures. -Conduct and manage phone calls to facilitate authorization requests, answer questions, and handle escalations. -Operate within both the Medicare and Specialty sub-teams within the prior authorization department.
OptumAcute Care Clinical Pharmacist
Mar. 2021 - Sep. 2023Lenexa, Kansas, United States-Obtained and verified patient prescriptions, assisting physicians as necessary in formulating prescriptions and monitoring regimens. -Communicated with patients, physicians, nursing staff, pharmacists, registered dieticians, and other healthcare team members regarding patient status, therapy responses, and clinical objectives. -Coordinated and ensured the accuracy of drug preparation work completed by pharmacy technicians before medication distribution. -Ensured compliance with FDA, DEA, State Board of Pharmacy, OSHA, and other regulatory standards, overseeing the safety, appropriateness, and effectiveness of pharmaceutical care.
WalgreensClinical Lead Pharmacist
Dec. 2020 - Mar. 2021Overland Park, Kansas, United States-Directed the strategic and tactical administration of the Pfizer BioNTech Covid-19 vaccine to long-term care facilities within the Kansas City metropolitan area. -Facilitated on-site training sessions with pharmacists and technicians on proper Covid-19 vaccination administration. -Ensured accurate reporting and data integrity, keeping facilities compliant with CDC guidelines and internal standards.
WalgreensMarket Pharmacist
Aug. 2019 - Dec. 2020Overland Park, Kansas, United States-Delivered pharmacy consulting services regarding medication usage, drug interactions, preventive healthcare, and immunizations. -Ensured the pharmacy operated according to regulations, company policies, and standards. -Maintained current knowledge of pharmacy systems such as Intercom Plus and StoreNET. -Consistently ranked in the top tenth percentile for Verify by Promise Time (>93%). -Managed prior authorization (PA) claims for specialty medications and served as an intermediary between care teams and insurance.
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