Yulia Dadashyan
Senior Clinical Pharmacist at Choice Specialty Pharmacy- Claim this Profile
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Russian Native or bilingual proficiency
Topline Score
Bio
Credentials
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Advanced Cardiac Life Support and Cardiopulmonary Resuscitation
American Red Cross -
certified immunizer
American Red Cross
Experience
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Choice Specialty Pharmacy
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Pharmaceutical Manufacturing
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1 - 100 Employee
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Senior Clinical Pharmacist
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Jun 2018 - Present
- Support pharmaceutical care to provide processing of prescription orders in a timely, efficient, and quality manner, and to ensure accuracy and appropriateness of therapy.- Provide direct telephonic pharmaceutical care services to patients in a clinical setting and promote appropriate, safe, and cost-effective drug therapy to improve patients' quality of life -Perform Medication Therapy Management (MTM) using Outcomes and OptumRX platforms-Initiate changes in patients' medication regimen with the consultation of provider and document pharmaceutical interventions within the electronic medical record -Performed medication therapy monitoring, disease state and therapeutic counseling to improve patient care outcome-Serve as primary contact for all inquiries relating to patient therapy, drug information, eligibility, health plan navigation and operational issues for both internal (Markets, Specialists, Medical Directors) and external (Pharmacists, Physicians, Patients, PBM) customers -Report adverse drug and vaccine reaction- Resolve pharmacy claims issues on behalf of patients and providers-Developed and support comprehensive specialty pharmacy operational procedures to provide optimal and efficient service to patients and providers -Coordinate infusion services with nursing and pharmacy staff
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Pharmacist in Charge Central Processing Specialty Pharmacy
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Jul 2016 - May 2018
-Supervise the activities of Central Processing Specialty Pharmacy, Reimbursement Department, and Customer Service Department. -Development, implementation and documentation of standard operating procedures to ensure efficient delivery of products and services, including coordination of various functional departments and training of staff.-Oversee Prior Authorization and Appeals submissions for accuracy and efficiency-Educate prescribers, clinicals staff and patients on patient support program and services.-Responsible for start-up administration and coordination of pharmaceutical care to ensure processing of prescription orders of a diverse patient population in a timely, efficient, and quality manner, including leading, assisting and overseeing the operation of the work team -Assist with handling escalated reimbursement issues.-Responsible for data and clinical reviews and taking necessary actions to ensure accuracy and appropriateness of medications.-Provide clinical consultation and knowledge to patients, medical staff, pharmacists, and insurance plans as needed.-Primary contact for all questions, dialogues, and issues relating to patient therapy and for the client concerning operational issues.
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UnitedHealth Group
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Appeals and Grievances Pharmacist
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Oct 2015 - Jul 2016
Researched, evaluated, and made determinations on member and provider appeals of pharmacy coverage decisions -Gathered complex clinical information, consider approved compendia, medical literature, coverage policy, and criteria information and work within regulatory guidelines to render decisions- Consulted with customers, patients and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests- Provided explanations and interpretations within area of expertise-Consulted and collaborated with medical directors, benefit operators, management and peers to provide optimal decision and care for patients, comply with CMS regulations, and maintain company’s standards of care-Worked independently, solving complex and urgent issues -Consistently rated at 100% during monthly performance reviews for productivity, accuracy, and efficiency
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Walgreens
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United States
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Retail
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100 - 200 Employee
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Pharmacist
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Jan 2008 - Jun 2016
Evaluated physician prescription for appropriateness of drug, dosage, potential interactions and route of administration and appropriate recommendations for therapy changes -Conducted Drug Utilization Review (DUR) on all prescriptions and Medication Therapy Management (MTM) on Medicare patients -Used computerized compounding system for basic, non-sterile compounding-Interacted with insurance providers concerning billing/reimbursement issues-Provided vaccination and health testing--Consult with physicians and patients with regards to medication dosage, drug interactions, medical equipment, disease management and potential side effects of prescription and OTC medications -Ensured continual compliance with all State and Federal rules and regulations-Ensured adequate control and documentation of all controlled substance records and monitor patient medication profiles
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Education
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2004 - 2007
Roseman University of Health Sciences
Doctor of Pharmacy - PharmD, Pharmacy
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