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Chandler, Arizona, United States
May 25, 2018

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**** * ***** ** ********, AZ *****



10+ Years of Pharmacist experience, Active Pharmacist License in the State of Arizona, 2+ years of experience in Medicaid prior authorizations including specialty and telephonic prior authorizations, experience counseling patients and physician staff about medications and alternatives in a clinical call center as well as 9 years as both PIC and staff pharmacist in a local retail pharmacy. PROFESSIONAL EXPERIENCE

Alorica Chandler, AZ. 11/2017-current

Staff Pharmacist

• Verify mail order prescriptions entered by technicians

• Evaluate drug utilization reviews for drug interactions, allergies, dosing and age

• Review eligibility for auto refill based on insurance reimbursement

• Evaluate prescriptions for availability to override copay for PruGen assistance plan

• Meet and exceed company’s quota for volume and quality Aetna, Phoenix, AZ 05/2016 – 02/2017

Prior Authorization Pharmacist

• Prior authorization pharmacist for several Medicaid plans

• Evaluate incoming prior authorizations including specialty

• Work with prior authorization team

• Suggest ways to improve and provide similar decisions and explanations US Script, Tempe, AZ 02/2015 – 04/2016

Clinical Prior Authorization Pharmacist

• Sole primary reviewing pharmacist for state healthcare plan.

• Review for three state Medicaid plans.

• Review both non-specialty and specialty medications.

• Interpret clinical information submitted by requesting physician (or physician representative) along with information in the patient's medical records to make determinations of medical necessity based on medication utilization and clinical appropriateness in line with current clinical guidelines and evidence based gold standard of care.

• Review telephonic prior authorizations over the telephone for two of my three plans with prescribers and/or staff.

• Make recommendations to physicians and other providers for alternative medication therapies based on health plan formulary and current gold standards of practice.

• Performing peer to peer reviews by directly consulting with physicians and nurses.

• Provide explanation and interpretations of health plan guidelines and provide recommendations to providers within area of expertise.

• Interact with providers to gain additional clinical information when needed.

• Train and educate pharmacists and support staff in the Prior Authorization team.

• Recommend plan design changes, work with the health plan's pharmacy team, update plan guide and communicate recommendations to staff pharmacists in my primary plan.

• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews.

• Provide clinical guidance and support to various departments and address clinical related questions. CVS Caremark, Phoenix, AZ 04/2014 – 10/2014

Clinical Pharmacist

• Provide answers to clinical questions from patients and medical professionals in a call center environment.

• Educate patients regarding drug information, dosing of medications, pill identification, drug interaction and side effect information.

• Provide clinical alternatives to medications to patients and medical providers due to cost or side effects. Deescalate supervisor requested calls.

• Evaluate stability of medications and counsel patients accordingly and approve reship when warranted. Transfer prescriptions to and from other pharmacists.

• Take new prescriptions over the phone and enter into computer system. Bashas', Phoenix, AZ 06/2005 – 04/2014

Pharmacy Manager

• Supervise pharmacy associates, maintain stock, keep perpetual inventory and supervise biannual inventory, comply with state and federal laws and regulations as well as company policies and procedures, ensure customer satisfaction, use clinical skills to evaluate medications, drug interactions and disease states and make recommendations to physicians and patients, counsel patients on RX and OTC medications, fill and verify prescriptions, take new and transfer prescriptions, return medications to vendors including outdates


• Aid in increasing prescription volume by 50%. Build and maintain trusting relationships with patients, improve patient outcomes and quality of life

• Skills Used: Clinical skills evaluating appropriate medication use and dosing, drug interactions and disease states, excellent patient care and counseling EDUCATION

PharmD in Pharmacy, 2002-2005

Midwestern University, Glendale, AZ

Pre-Pharmacy studies, 1998-2002

Mesa Community College, Mesa, AZ

General studies, 1997-1998

Arizona State University, Tempe, AZ


Registered Pharmacist, 10/2016-10/2018

Arizona state board of pharmacy


Name: Evans, Rachel A.

License#: S014926

License Type: Pharmacist

Status: OPEN

Issued: 07/22/2005

Expires: 10/31/2018

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