Pharmacist

• Jan 2023 - Present

Clinical Pharmacy Specialist - Prior Authorizations

• Aug 2019 - Jan 2023

As a Clinical Pharmacy Specialist, my duties consisted of: - Performing clinical prior authorization, appeal, and specialty reviews across Medicaid, Commercial/Exchange, and Medicare lines of business. - Assisting Medicare team with case outreach monitoring, re-openings, and IRE packet reviews. - Supporting call center by providing clinical expertise and facilitating peer to peer discussions. - Aiding in new workflow process development and department training. - Managing FDA… Show more As a Clinical Pharmacy Specialist, my duties consisted of: - Performing clinical prior authorization, appeal, and specialty reviews across Medicaid, Commercial/Exchange, and Medicare lines of business. - Assisting Medicare team with case outreach monitoring, re-openings, and IRE packet reviews. - Supporting call center by providing clinical expertise and facilitating peer to peer discussions. - Aiding in new workflow process development and department training. - Managing FDA recall notifications for health plan members and providers. - Serving as clinical consultant for Workers’ Compensation group and educating providers on lower cost medication alternatives. Show less As a Clinical Pharmacy Specialist, my duties consisted of: - Performing clinical prior authorization, appeal, and specialty reviews across Medicaid, Commercial/Exchange, and Medicare lines of business. - Assisting Medicare team with case outreach monitoring, re-openings, and IRE packet reviews. - Supporting call center by providing clinical expertise and facilitating peer to peer discussions. - Aiding in new workflow process development and department training. - Managing FDA… Show more As a Clinical Pharmacy Specialist, my duties consisted of: - Performing clinical prior authorization, appeal, and specialty reviews across Medicaid, Commercial/Exchange, and Medicare lines of business. - Assisting Medicare team with case outreach monitoring, re-openings, and IRE packet reviews. - Supporting call center by providing clinical expertise and facilitating peer to peer discussions. - Aiding in new workflow process development and department training. - Managing FDA recall notifications for health plan members and providers. - Serving as clinical consultant for Workers’ Compensation group and educating providers on lower cost medication alternatives. Show less

Retail Pharmacist - Independent Pharmacy

• Sep 2017 - Aug 2019

In this role, my duties consisted of: - Thoroughly reviewing medication profiles for drug interactions, vaccine eligibility, and therapy optimization opportunities to provide high quality patient driven outcomes. - Performing extensive insurance formulary research to understand reimbursement, DIR fees, and medication coverage to increase star ratings and aid in patient care services. - Managing clinical performance at two stores, including Mirixa and Outcomes platforms, medication… Show more In this role, my duties consisted of: - Thoroughly reviewing medication profiles for drug interactions, vaccine eligibility, and therapy optimization opportunities to provide high quality patient driven outcomes. - Performing extensive insurance formulary research to understand reimbursement, DIR fees, and medication coverage to increase star ratings and aid in patient care services. - Managing clinical performance at two stores, including Mirixa and Outcomes platforms, medication packaging, adherence calls, and monthly EQuIPP score evaluation. - Performing staff pharmacist duties 1-3 days per week based upon need. Show less In this role, my duties consisted of: - Thoroughly reviewing medication profiles for drug interactions, vaccine eligibility, and therapy optimization opportunities to provide high quality patient driven outcomes. - Performing extensive insurance formulary research to understand reimbursement, DIR fees, and medication coverage to increase star ratings and aid in patient care services. - Managing clinical performance at two stores, including Mirixa and Outcomes platforms, medication… Show more In this role, my duties consisted of: - Thoroughly reviewing medication profiles for drug interactions, vaccine eligibility, and therapy optimization opportunities to provide high quality patient driven outcomes. - Performing extensive insurance formulary research to understand reimbursement, DIR fees, and medication coverage to increase star ratings and aid in patient care services. - Managing clinical performance at two stores, including Mirixa and Outcomes platforms, medication packaging, adherence calls, and monthly EQuIPP score evaluation. - Performing staff pharmacist duties 1-3 days per week based upon need. Show less

Retail Pharmacist

• Jan 2017 - Sep 2017

In this role, my duties consisted of: - Delivering high-quality care to patients by reviewing medication orders and refills for accuracy, drug interactions, and therapy duplications. - Contacting third party payers and physicians regarding insurance claims and prescription justifications when necessary. - Administering vaccinations per protocol and perform additional tasks within pharmacy as required. In this role, my duties consisted of: - Delivering high-quality care to patients by reviewing medication orders and refills for accuracy, drug interactions, and therapy duplications. - Contacting third party payers and physicians regarding insurance claims and prescription justifications when necessary. - Administering vaccinations per protocol and perform additional tasks within pharmacy as required.

Regulatory Affairs Specialist, CMC

• Apr 2016 - Jan 2017

As a CMC Regulatory Affairs Specialist, my duties consisted of: - Preparing and thoroughly reviewing Supplements and FDA required Annual Reports for a number of products contained in Mylan's generic portfolio. - Providing in-depth review of technical chemistry and manufacturing documents to ensure accuracy when assessing and reporting changes. - Assisting departmental management in providing regulatory guidance to other departments for proposed changes to specified products. As a CMC Regulatory Affairs Specialist, my duties consisted of: - Preparing and thoroughly reviewing Supplements and FDA required Annual Reports for a number of products contained in Mylan's generic portfolio. - Providing in-depth review of technical chemistry and manufacturing documents to ensure accuracy when assessing and reporting changes. - Assisting departmental management in providing regulatory guidance to other departments for proposed changes to specified products.

Medical Affairs Intern

• May 2014 - Jan 2015

As an intern, my duties consisted of: - Assisting in documentation and review process of unbranded medical education program - Assuring that all company interactions are compliant with local, regional, and company policy - Demonstrating a comprehensive understanding of Medical Affairs in an industry setting - Establishing improved communication abilities internally as well as with external stakeholders As an intern, my duties consisted of: - Assisting in documentation and review process of unbranded medical education program - Assuring that all company interactions are compliant with local, regional, and company policy - Demonstrating a comprehensive understanding of Medical Affairs in an industry setting - Establishing improved communication abilities internally as well as with external stakeholders