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Work Background
CVS HealthPharmacist
Aug. 2024United States, AtlantaLed collaborative efforts across CD&A, addressing clinical queries and collecting essential medical data for assessments within defined service level agreements. Orchestrated prompt communication of case decisions to physicians, health plans, patients, and healthcare professionals, adhering to approved approval and denial management procedures. Reviewed and provided clinical decisions on Prior Authorizations, Tier Exceptions, and Non-Formulary requests in progress. Demonstrated flexibility by undertaking additional projects and duties, including on-call and after-hours pharmacist availability. ● Streamlined communication by proactively addressing inquiries related t to pending, approved, or denied prior authorizations through outbound calls to physicians or members.
● Conducted prior authorizations for specialty medications and performed clinical reviews of gathered medical data using clinical expertise.
● Planned and implemented approved criteria for prospective and concurrent reviews of Medicare D cases.
SmithRxClinical Review Pharmacist
Nov. 2023 - Jan. 2024RemoteConducted prior authorization reviews efficiently. Collaborated with pharmacists in the P&T process. Fostered communication with various functional areas within SmithRx. Effectively communicated SmithRx's vision, mission, values, and goals. Engaged in multi-departmental meetings and committees to drive project success.
● Served as a clinical subject matter expert for account management, sales, and implementation teams. ● Established clinical criteria for medications requiring prior authorization for streamlined processes and improved efficiency.
CVS Health (contract position through ICONMA)Clinical Pharmacist Medicare D
Oct. 2022 - Apr. 2023Led collaborative efforts across CD&A, addressing clinical queries and collecting essential medical data for assessments within defined service level agreements. Orchestrated prompt communication of case decisions to physicians, health plans, patients, and healthcare professionals, adhering to approved approval and denial management procedures. Reviewed and provided clinical decisions on Prior Authorizations, Tier Exceptions, and Non-Formulary requests in progress. Demonstrated flexibility by undertaking additional projects and duties, including on-call and after-hours pharmacist availability. ● Streamlined communication by proactively addressing inquiries related to pending, approved, or denied prior authorizations through outbound calls to physicians or members.
● Conducted prior authorizations for specialty medications and performed clinical reviews of gathered medical data using clinical expertise.
● Planned and implemented approved criteria for prospective and concurrent reviews of Medicare D cases.
InpharmDDrug Information Pharmacist
Dec. 2021 - Aug. 2022Utilized efficient literature searches to apply medical knowledge to specific patient cases. Conducted critical evaluations of medical literature online and through various resources. Offered personalized, accurate, and unbiased drug information to healthcare professionals through written responses to inquiries. Researched and organized Pharmacy and Therapeutic Committee projects, including drug monographs and therapeutic interchanges, supported by relevant literature. ● Guided healthcare professionals regarding pharmaceutical products and delivered accurate information.
● Pivotal in resolving queries and ensuring timely project delivery by engaging with a drug information team.
Wellstar Health SystemClinical Pharmacy Manager
Feb. 2010 - Nov. 2021Delivered exceptional customer service to co-workers & patients by addressing complaints and inquiries, providing effective solutions, and ensuring timely resolution of patients' issues. Collaborated with interdisciplinary team to optimize patient care, ensuring appropriate medications and therapies, & customizing care plans through coordination with clinical departments. Conducted patient care family meetings, educating patients & families on drug interactions, potential side effects, & optimal administration methods for post-discharge therapy compliance. Led personnel-related responsibilities, including recruitment, staff training, performance management, behavioral issue resolution, performance evaluations, and fostering professional development & team cohesion. Contributed to strategic planning initiatives.
● Played an integral role in overseeing and improving day-to-day pharmacy operations.
● Established a healthy & safe work environment by maintaining the pharmacy clean and in working order.
● Aided in designing, testing, and implementing two different EMR systems amid technological advancement.
● Improved patient healthcare by identifying opportunities for enhancement, validating and dispensing prescribed medications, & administering accurate dosages based on physician orders and clinical guidelines.
● Streamlined inventory management by collaborating with technicians & pharmacists to implement automatic dispensing cabinets. ● Identified improvement areas, maintained compliance, & eliminated hazards posed to staff and residents by conducting routine facility inspections.
● Maintained rigorous compliance with federal & state laws, policies, procedures, rules, & regulations governing pharmacy practice and drug distribution. ● Upheld standards established by the Georgia Board of Pharmacy, Georgia Drugs and Narcotics Agency, DEA, & the Centers for Medicare and Medicaid Services.
● Served as Chair of MUSIC Committee for Sylvan Grove & Spalding Medical Centers
City PharmacyStaff Pharmacist
Jan. 2009 - Jan. 2010Jackson, GA 30233
Georgia Department of CorrectionsStaff Pharmacist
Jan. 2009 - Jan. 2010Milledgeville, Georgia, United States
WalmartStaff Pharmacist
Aug. 2008 - Jan. 2009Griffin, Georgia, United States
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