Madhavi Patel Pharm.D., RPh

*** ******* **

Bartlett, IL 60103

Mobile Phone: 312-***-****

Home Phone: 630-***-****

Email: aj209t@r.postjobfree.com

OBJECTIVE: To utilize my clinical operations skill set to improve patient quality of care while making clinically cost efficient decisions that will drive towards organizational goals and objectives.

QUALIFICATIONS

Conducted patient specialty therapy clinical evaluations for hemophilia, IGIV, Growth Hormone, Synagis®,Rheumatoid Arthritis and Oncology

Focused expertise in the following therapies; Oncology, Rheumatoid Arthritis, Multiple Sclerosis, Hemophilia, RSV, Hepatitis

Created individualized clinical action plans through patient profile assessment and concurrent monitoring

Monitored for clinical intervention opportunities such as compliance & persistency, drug safety, adverse drug events, multiple therapy concerns and appropriateness of use

Performed clinical administration functions through a live support environment to educate and monitor members and collaborate with physicians and clinical staff to ensure optimal patient care and collection of data for proactive monitoring

Managed pharmacy staff for appropriate packaging of injectables, oral, sterile and non-sterile compounds and all ancillary supplies to ensure efficiencies in cost

Oversight of specialty sterile and non-sterile compound formulations in the clean room to ensure accuracy of mixtures and inclusion of appropriate educational materials

Performed formulary compliance activities through member and physician educational campaigns designed for specific therapeutic classes

Conducted member plan design reviews and resolved clinical prior authorization edits to increase awareness to the most clinically cost efficient therapies

Conducted data analytics to identify necessary sales and inventory changes due to changing prescribing and utilization patterns within a dispensing pharmacy

Provided outpatient pharmacy services relating to patient therapy, regulatory measures and initiation of patient-oriented wellness programs

Implemented a new pharmacy opening for Meijer, and developed an individualized operational, sales and patient communications plan to streamline processes as the pharmacy manager and PIC (pharmacy in charge)

Development of operational workflow to efficiently manage therapeutic alternative programs to both appropriately counsel patients, while achieving a higher generic penetration rate

Developed process flows for all managed care clinical edit resolutions

Excellent consultative skills to effectively communicate and develop rapport with a multitude of disciplines such as doctors, pharmacists, RN’s and other health care professionals.

Performed scheduled periodic on-call assignments which utilized my problem solving abilities as well as pertinent communication skills

Coordinated patient action plans for critical patient with RN’s and MD’s to ensure patient best quality of care initiatives

Skills pertaining to literature evaluation and methodology to determine value and effectiveness of drug therapy.

Proficient in MS Word, PowerPoint, Outlook, Meditech, PDX databases and internet research capabilities

EDUCATION Doctor of Pharmacy May 2000

University of Illinois at Chicago College of Pharmacy

Chicago, IL

EMPLOYMENT

2011-Present Specialty Clinical Pharmacist, Caremark Mt. Prospect, IL

Conducted clinical management and fulfillment of patients on biologic and other specialty therapies

developed patient care plans to monitor safety, side effects and compliance for patient’s on therapy

conducted therapy management for patient populations with rheumatoid arthritis, multiple sclerosis, hemophilia, growth hormone, oral oncology, injectable oncology, hepatitis, orphan disease states, etc.

developed clinical work plans to ensure adherence to evidence-based guidelines in the course of each patient’s therapy

off-label drug utilization monitoring and physician education to ensure all specialty therapies are optimally utilized

monitored and conducted clinical interventions pertaining to compliance & persistency, drug safety, adverse drug events and appropriateness of use

conducted oversight protocol for specialty compound therapies (e.g., infertility, oncology, adjunct cancer therapies) for the preparation of, and member education

collaborated as a subject matter expert in therapy management with a multi-disciplinary clinical team to ensure proper communication with patient’s physicians and nurses for development of clinical care plans

managed multiple sets of data, which include laboratory, medical and pharmacy data to optimize patient management

Managed clinical utilization management programs

conducted utilization management reviews to ensure patient safety and appropriate utilization

administered resolution of clinical prior authorization programs required for therapies

conducted ICD-9 reviews for verification of diagnosis within certain therapies and to utilize as a tool for resolution of prior authorizations

conducted oversight of waste management programs to ensure fulfillment efficiencies based on clinical protocol and dispensing tactics

Provided for integral input for appropriate QA and performance enhancements for Caremark’s Therapeutic Services division

reviewed evidence-based clinical guidelines to assess for changes in devised clinical work plans

provided for data collection and analysis to assist in the cost efficiency of utilization management initiatives

created regulatory plans to keep up to standards of JCAHO, state and federal regulatory agencies

Developed and executed formulary management activities to drive enhanced member and physician awareness to the most clinically cost-efficient therapies

2010-2011 Part Time Staff Pharmacist, Walmart Streamwood, IL

Managed drug fulfillment and verification

Conducted therapy and disease specific patient consults

Conducted inventory management to ensure efficient use of drug stock

Conducted medication clinical reviews to promote appropriate utilization for specific populations (geriatric, pediatric, etc.)

Effectively communicated patient profiles for resolution of interventions to teams of doctors, pharmacists, nurses and superiors.

2004-2010 Pharmacy Manager / Part Time Staff, Meijer Pharmacy Bloomingdale, IL

Managed inventory to increase efficiency and reduce overall costs

Managed monthly vendor charge backs to eliminate overstock and expired medication

Evaluated and enhanced the model replenishment system to ensure availability of medication

Supervised bimonthly inter-store transfer of medication for prescription usage to reduce store inventory

Comprehensively managed patient therapy

Performed pediatric dosage calculations and consultations with MD’s for selected antibiotic regimens

Conducted therapeutic interchange reviews as a part of multiple MTMS program activities to drive plan specific formulary compliance

Analyzed medication profiles to identify drug interactions and quality of drug therapy to serve as auditing procedures

Identified optimal drug therapy management opportunities to enhance patient quality of care

Communicated and worked collaboratively with physicians to reduce medication adverse events

Conducted community-based educational services

Provided patient education services relating to diabetes management

Pharmacy representative at annual Woodridge Annual Senior Wellness Event conducting question-answer sessions involving disease states such as hypertension, diabetes, arthritis, and cardiovascular disease

Insulin self-administration and disease state seminars for Bayer Diabetes Days

Provided post-shot counseling initiatives for the Nurse’s Association’s Flu Shot Clinic

Conducted managed care clinical reviews to promote appropriate utilization

Effectively conveyed complex ideas to teams of doctors, pharmacists, nurses and superiors.

2002-2004 Specialty Clinical Pharmacist, Caremark Inc. Northbrook, IL

Clinical management of patients on biologic and injectible medication therapy

clinically monitored patients on therapy for hemophilia, IGIV, growth hormone, synagis and newer high cost injectables entered into the market

detailed clinical profile assessments conducted for every patient entering into Caremark’s Specialty Drug division

developed clinical work plans to ensure evidence-based guidelines have been followed in the course of each patient’s therapy

evaluated work plans to ensure appropriate changes specific to prescribed therapy and peer reviewed plans developed by other pharmacists

Conducted DUR’s to ensure that patients are following appropriate therapy plans and to evaluate the necessity for current treatments implemented

Collaborated with other health care disciplines to coordinate patient’s therapy

developed key relationships with lead physicians for managed therapies to formulate proper assessment plan and monitoring guidelines specific for each patient

coordinated with RN’s and associated personal to ensure patients therapy, whether single dose or infusion therapy, was properly administered

provided for integral input for appropriate QA and performance enhancements for Caremark’s Therapeutic Services division

Provided for integral input for appropriate QA and performance enhancements for Caremark’s Therapeutic Services division

consistently reviewed evidence-based clinical guidelines to assess for changes in devised clinical work plans

provided for data collection and analysis to assist in the cost efficiency of utilization management initiatives

created regulatory plans to keep up to standards of JCAHO, state and federal regulatory agencies

Developed and executed formulary management activities to drive enhanced member and physician awareness to the most clinically cost-efficient therapies

2000-2002 Pharmacist, Meijer Pharmacy Bolingbrook, IL

Comprehensive management of patient therapy

Performed pediatric dosage calculations and consultations with MD’s for selected antibiotic regimens

Analyzed medication profiles to identify drug interactions and quality of drug therapy

Consulted with doctors to make recommendations regarding optimal drug therapy

Strong skills established in clinical pharmacy relating to patient therapy, formulary management and the development of numerous protocols to reduce costs

Conducted community-based educational services

Pharmacy representative at Woodridge Annual Senior Wellness Event conducting question-answer sessions involving disease states such as hypertension, diabetes, arthritis, and cardiovascular disease

Provided patient education services relating to diabetes management by providing proper insulin self-administration and disease state seminars for Bayer Diabetes Day

Assisted in the organization of Visiting Nurse’s Association’s Flu Shot Clinic providing post-administration counseling

Inventory Management to increase efficiency and reduce overall cost

Managed monthly vendor charge backs to eliminate overstock and expired medication

Evaluated and critiqued the model replenishment system to ensure availability of medication

Supervised bimonthly inter-store transfer of medication for prescription usage to reduce store inventory

Conducted drug utilization reviews to evaluate therapies prescribed by physicians

several antibiotic reviews conducted to evaluate appropriate-use

analyzed narcotic utilization in various departments to evaluate prescribing patterns

Effectively communicating to convey complex ideas to teams of doctors, pharmacists, nurses and superiors.

Professional Affiliations

Association of Health System Pharmacists in America

Association of Managed Care Pharmacists

References Available Upon Request

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