Experience

CVS Health Payor Solutions

• Hospitals and Health Care
• 1 - 100 Employee

• Clinical Pharmacist

  • Dec 2019 - Present

  • Analyze and process prior authorization requests for specialty medications • Program and develop templates to expedite prior authorization request processing • Troubleshooting daily technical and clinical issues, including technician training • Maintaining professional dialogue between plan sponsors, providers, patients, and pharmacies • Familiar with various programs such as CAS, HBS, PeopleSafe, Rxclaims, RXconnect • Provide feedback for guideline improvement • Analyze and process prior authorization requests for specialty medications • Program and develop templates to expedite prior authorization request processing • Troubleshooting daily technical and clinical issues, including technician training • Maintaining professional dialogue between plan sponsors, providers, patients, and pharmacies • Familiar with various programs such as CAS, HBS, PeopleSafe, Rxclaims, RXconnect • Provide feedback for guideline improvement



Walmart

• United States
• Retail
• 700 & Above Employee

• Pharmacy Manager

  • Jan 2015 - Nov 2019

   Systematically improved pharmacy bottom line and profit margins through lean six sigma waste elimination and inventory control Developed operation protocols to streamline everyday process Understands and systematically improves pharmacy evaluation benchmarks Develop and train new associates to become multi-dimensional Delegate responsibilities and empower technicians/cashiers to tackle additional duties Experienced with company operations and managerial responsibilities Strong evidence-based clinical knowledge with focus in infective diseases and transplant Familiar with the prior authorization process involving PBMs Experienced with efficient handling of drug utilization reviews Collaborate well with market directors and other PICs to tackle company directives Communicate well with prescribers in finding acceptable alternatives for cost-prohibitive or therapeutically substandard medications Able to resolve interpersonal conflicts through effective communication and dialogue Strong equipment and software debugging/maintenance skills Show less

• Staff Pharmacist

  • Aug 2013 - Jan 2015

  • Performed therapeutic and cost interventions for patients• Resolved patient complaints and promoted patient satisfaction• Resolve third party rejections



Walmart

• United States
• Retail
• 700 & Above Employee

• Pharmacy Intern

  • Jun 2011 - May 2013

  Identified and performed several significant interventions for patients Promoted patient satisfaction Helped building a HIPAA cage to store confidential documents Counseled patients on proper medication use and potential ADRs Performed various technician duties (input, insurance troubleshooting, dispensing, etc.) Identified and performed several significant interventions for patients Promoted patient satisfaction Helped building a HIPAA cage to store confidential documents Counseled patients on proper medication use and potential ADRs Performed various technician duties (input, insurance troubleshooting, dispensing, etc.)



The University of Texas at Austin

• United States
• Higher Education
• 700 & Above Employee

• Advanced Academic Assistant for Drug Info

  • Aug 2011 - Dec 2011

  Served as a faculty liaison and student facilitator for drug information course Served as a faculty liaison and student facilitator for drug information course



SUNY Poly SEMATECH

• United States
• Nanotechnology Research
• 1 - 100 Employee

• Nanoscholar Front End Processing Intern

  • Jun 2007 - Sep 2007

  Performed high-k dielectric characterizations Presented findings to the entire FEP division and state evaluator Helped negotiate a $100,000 project between UT and SEMATECH Performed high-k dielectric characterizations Presented findings to the entire FEP division and state evaluator Helped negotiate a $100,000 project between UT and SEMATECH