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Skills

  • Staff supervision
  • Pharmacy management system implementation
  • Quality assurance controls
  • Medication adherence planning
  • Acute and rehabilitative care
  • Healthcare Claims Processing
  • Fundraising and major donor development
  • Customer service excellence
  • Inventory management and ordering
  • Medication-related problem resolution

Work Experiences

  • Recruited well-qualified candidates to fill vacancies and provide unsurpassed care to residents.
  • Oversaw 9 Pharmacy Care Coordinators of administrative staff, providing consistent coaching and mentoring to improve job efficiency.
  • Created policies to align procedures with nursing home strategic initiatives and ensured that I followed all statutory, regulatory, state, and federal regulations.
  • Implemented new hire training to help employees improve their skills and start conversations about task prioritization.
  • Collaborated on research with local healthcare teams, leading to the implementation of a pilot program for improving patient adherence in Chicago.
  • Achieved 11% improvement in service delivery.
  • Collaborated with marketing to promote new pharmacy services, increasing patient enrollment by 9 clients in several months.
  • Achieved results over the course of one year.
  • Achieved full accreditation with Lean.
  • Collaborated with healthcare providers to streamline the prescription refill process, decreasing turnaround time by 9 hours.

Summaries

  • Team player who speaks 3 languages fluently.
  • Multilingual and fluent in German and Japanese, with a strong grasp of cultural differences.
  • Team leadership in category settings and strategic planning in budget management settings.
  • Pharmacy Care Coordinator with project management and stakeholder engagement abilities.
  • Design and implement policies and procedures with ease.
  • Accomplished Pharmacy Care Coordinator with 12 years of experience in healthcare claims processing, significantly reducing insurance claim rejections by 58%.
  • Professional with extensive knowledge of performance metrics, immunizations, and medical advice.
  • Miscellaneous student seeking hands-on experience through an internship in vendor management.
  • Proficient in promoting method by leveraging client relations and workflow optimization knowledge.
  • Category, standard, and initiative are all available.

Accomplishments

  • Spearheaded new initiatives to address medication adherence, improving patient refill rates by 54%.
  • Applied data-driven strategies to prioritize patient cases, reducing wait times for critical medication by 85% over two years.
  • Collaborated with the billing department to rework prescription reimbursement processes, leading to an increase in approved claims by 51%.
  • Worked with insurance providers to expedite prior authorizations, reducing wait time for approvals by 17 days across one year.
  • Established a workflow solution that improved prescription fulfillment efficiency by 72% and patient satisfaction by 27% over several months.
  • Enhanced medication therapy management (MTM) efforts alongside pharmacists, improving overall patient outcomes across the pharmacy by 31%.
  • Implemented a streamlined process for specialty drug approvals, cutting down submission time by 18% and improving patient satisfaction.
  • Collaborated on payer contract negotiations, resulting in reduced costs for high-dollar medications by 21% annually.
  • Enforced compliance with Good Pharmacy Practice (GPP) standards, increasing overall regulatory score during audits by 47%.
  • Aided in insurance claim resolutions, reducing turnaround time for disputed claims by 51% using Asana.

Affiliations

  • Acted as Care Transition Liaison for process, working on programs to decrease patient medication lapse rates.
  • Active Member of the American Pharmacists Association (APhA) since 2020, contributing to discussions on improving patient care coordination protocols.
  • Presented at the International Pharmaceutical Federation (FIP) Congress on best practices for reducing medication lapses during care transitions.
  • Contributing member of the Healthcare Financial Management Association (HFMA), providing insights into pharmacy claims reimbursement and cost control techniques.
  • Certificate in Pharmacy Workflow Innovation from process, focused on improving efficiency and reducing medication errors in high-demand settings.
  • Completed certification in Healthcare Claims Processing with metric, ensuring understanding of insurance protocols related to prescription medications.
  • Completed Advanced Certification in Population Health Management from SAP, with a focus on the role of pharmacy in community health improvement.
  • Participated in Georgia Board of Pharmacy’s Task Force on Electronic Prescribing Standards, developing improved protocols for high-volume prescription management.
  • Received the President's Club for excellence in care coordination from Brightline, after collaborating on a patient adherence improvement program.
  • Certified Professional in Healthcare Quality (CPHQ) from the National Commission for Certifying Agencies (NCCA), specializing in workflow optimization.

Certifications

  • Project Management Professional (PMP)
  • Cisco Certified Internetwork Expert (CCIE)
  • CompTIA Security+
  • Specialty Pharmacy Certification (SPC) - 2021
  • Medication Reconciliation Certificate (MRC) from method
  • CompTIA A+ Technician
  • Clinical Pharmacy Practice Certification - metric - 2020
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Pharmacy Purchasing Officer (CPO) - 2016
  • SHRM Senior Certified Professional (SHRM-SCP)

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