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Healthcare Business Analyst

Location:
Salt Lake City, UT
Posted:
December 29, 2017

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Resume:

EXPERIENCE

ASSOCIATE

Booz Allen Hamilton / Salt Lake City, UT / Feb 2016 – Present

Part of clinical team that audits Medicare Part D prescription documents for dispensing errors.

• Leverage experience with innovation outside of traditional industry practice.

• Contribute to a cross-functional team, including analytics, pharmacy, and IT subject matter experts to meet project goals and develop efficiencies.

• Exceeded weekly audit goals by 50%.

BUSINESS ANALYST

OptumRx / Salt Lake City, UT / Nov 2010 – Feb 2016 Member of the Medicare Part D formulary team that submits and validates changes in client formularies.

• Interact with external and internal customers to achieve successfully formulary implementations.

• Successfully migrated five formularies to another platform for new benefit year start date.

• Resolved 10,000 claim rejections through coding corrections and collaboration with account managers.

ADJUNCT INSTRUCTOR, PHARMACY TECHNICIAN PROGRAM

Eagle Gate College / Murray, UT/ Jun 2008 – Oct 2014 Prepare students to pass the national certification and State of Utah licensure examinations.

• Present topics in pharmacology, regulations and mathematics. PROFILE

Accomplished healthcare analyst with experience in data analysis, teaching, government benefit regulations and compliance. Known for tackling difficult issues and devising solutions. I have 6 years of experience in teaching concepts to adults.

EXPERTISE

Critical Thinking

Teaching

Data Analysis

Collaboration

Project Management

Product Management

Account Management

Change Management

Public Speaking

Dewayne Dorman

HEALTHCARE ANALYSIS

801-***-**** Home 801-***-**** Mobile *************@*****.*** SKILLS

SAS

UltraEdit

SharePoint

EDUCATION

Bachelor of Business

Administration,

Columbia College,

Salt Lake City

2016

Master of Business

Administration,

Columbia College,

Salt Lake City

2018 (est.)

EXPERIENCE (CONTINUED)

PHARMACY PLAN ADMINISTRATOR

Coventry Health Care / Salt Lake City, UT / Dec 2005 – Oct 2010 Member of the Pharmacy Operations team that manages relationship with the PBM vendor, validates accuracy of pharmacy benefits, and handles escalated member or client issues.

• Saved relations with new client by catching and correcting programming error for 36,000+ member explanation of benefits data file.

• Lead team in adopting new Medicare requirements for explanation of benefits design and process.

• Initiated and researched service warranties with prescription processing vendor resulting in over $25,000 paid back to the company. FINANCIAL ANALYST/ AUDITING ASSISTANT

RxAmerica / Salt Lake City, UT / Apr 2004 – Nov 2005 Part of team that performs pharmacy audits and maintains MAC pricing list.

• Improved efficiency of desktop audit process by converging process into one software program.

• Increased desktop audit recoveries by over $150,000 in first year.

• Exceeded average number of onsite pharmacy audits by 25%. OPERATIONS SUPPORT

WorkingRx /Murray, UT / May 2001 – Apr 2004

Part of team responsible for collecting on unpaid workers’ compensation prescription claims.

• Managed 12-agent call center for prescription prior authorizations.

• Designed user interface to convert paper-based process to electronic saving the company thousands in the costs for paper.

• Developed alternative invoicing on HCFA-1500 forms to collect on unpaid claims from insurers.

CERTIFICATION

PTCB Certified

Licensed, Utah

DEWAYNE DORMAN

Business Analyst

801-***-**** Home 801-***-**** Mobile *************@*****.***



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