Director

• Apr 2022 - Present

Special Investigations Unit Sr. Manager

• Feb 2019 - Apr 2022

Pharmacy Solutions Manager

• Jun 2015 - Feb 2019

- Pharmacy vendor oversight of delegated functions for MAPD, QUEST Integration and Commercial lines of business- Medicare Part D Operations- Medical Specialty Drug oversight and operations- Vendor invoicing- Audit lead and speaker- Pharmacy compliance- Manage team of five FTEs

Senior Pharmacy Implementation Specialist

• Nov 2013 - Nov 2014

For Part D and MMP contracts, implemented and provided quality assurance to benefit and formulary set-ups in collaboration with Pharmacy Benefits Manager (CVS/Caremark); provided problem solving and CMS audit related support; managed and maintained pharmacy letters, submissions of pricing and data files; participant in cross-functional meetings and projects; provided analysis and support for open drug formularies and coding.

Program Manager for Quality Improvement

• Dec 2011 - Nov 2013

Proposed, created, implemented, monitored and analyzed internal quality outreach programs to improve the Member Experience. Managed, coached, mentored and motivated a team of nine Member Experience Specialists.

Covering Manager, Member Experience Department

• May 2013 - Jul 2013

Covering Manager, Member Experience Department

• Aug 2012 - Nov 2012

Pharmacy Supervisor, Member Services

• Jun 2008 - Dec 2011

Covering Manager, Member Services Call Center

• Mar 2010 - Jul 2010

Team Lead, Member Services

• Feb 2008 - Jun 2008

Member Specialist

• Dec 2007 - Feb 2008