Becky Moultrie – Registered Pharmacist

Quincy, MA

ac76hf@r.postjobfree.com

614-***-****

Summary:

• Registered Pharmacist with Bachelors in Pharmacy from Temple University and Masters of Science degree in Health Informatics

• Highly skilled in training and leading employees, managing schedules/workflows, and developing critical policies/procedures.

• Demonstrated strengths in working alongside interdisciplinary team of pharmacists and other healthcare personnel.

• Quick learner with continuous desire to expand clinical knowledge and improve therapeutic outcomes.

Areas of expertise:

Pharmacy Benefit Management (PBM)

Drug Utilization Review (DUR)

Seniors Utilization Review (SUR)

Prescriber/Patient Outreach

Cardiovascular Management

Patient Advocacy & Safety Patient Counseling

Medication Therapy Management (MTM)

Immunizations

Quality Assurance Therapeutic Management Workstation (TMW)

Prescription Entry

MS Outlook: Word, Excel, PowerPoint & Access

Work History

Blue Cross Blue Shield - Quincy, MA

Clinical Pharmacist (Aug 2016 – Present)

• Clinical Pharmacist well versed in Prior Authorization, Formulary Exception, Step Therapy and Quality Care Dosing

• Executed day-to-day approvals and denials to make timely determinations of coverage while maintaining compliance with all regulatory requirements

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

• Participated in the development and implementation of medication therapy management programs

• Accurately reviewed clinical criteria for prior authorization of medication and made timely determinations

• Provided clinical guidance and support to various departments and address clinical related questions.

Rite Aid – Remote work

Clinical PBM Pharmacist (Jan 2015 – Aug 2016)

• As a clinical PBM pharmacist, been involved in a variety of cost containment efforts for the Medicaid programs of several states.

• These include, but are not limited to, reviewing prior authorization requests based on clinical criteria necessary for approval, preferred drug lists, step therapies, maximum daily dosage edits, retrospective drug utilization review, high dollar prescription edits, drug-drug interaction reviews, mental health utilization edits, early refill edits, age appropriate edits, and exceeding maximum brand prescriptions per month edits.

• Interpret plan parameters set by the states and apply my clinical knowledge in an effort to maximize cost containment while ensuring effective patient care and good provider relations.

• Involved in providing medication management reviews for Medicare Part D patients.

• This involved counseling patients about the proper use of their medications, potential side effects and drug interactions, maximization of their benefits, and addressing their questions and concerns.

Medco, Columbus, OH Mar 2012 – Oct 2014

Pharmacist (2002 – Jan 2012)

• Specialized in Cardiovascular disease management for Hypertension and Hyperlipidemia.

• Maintained pharmacological knowledge by attending educational workshops and reviewing professional publications.

• Demonstrated responsibility for problem-solving, communicating alerts and updates, coaching and training DUR pharmacists.

• Oversaw supportive personnel (pharmacists and technicians) in a team environment.

• Created schedules for pharmacists based on the volume of the DUR Profiling and DUR Calling queues.

• Prepared job aids and facilitate DUR quality meetings to implement any changes necessary to internal SOP for corporate compliance.

• Reviewed turn around reports and execute resolution.

• Controlled medications by monitoring drug therapies; advising interventions.

Aetna

Clinical Pharmacist (2000 - 2002)

• Responsible for decision making, strategic planning, managing, multitasking and improving the pharmacy dispensing process, to meet and exceed company goals. Ensured quality outcomes through performance-improvement, teamwork and team building activities. Optimized use of information systems and technology through staff training programs, to improve math and computer skills. Performed above expectations in professional roles leading to superlative distinction.

• Led drug-utilization efforts; medication reconciliation, Drug Utilization Review (DUR), Medication Therapy Management (MTM), points of care (POC), Outcomes and Mirixa, for managed care patients as well as three, seven and ten day patient reminder calls. Managed the pharmaceutical supply chain, and pharmacy department financial operations through controlled purchasing and timely returns.

• Worked collaboratively with other pharmacy managers, to systematize processes for a safe, productive, and cost efficient, distribution of pharmaceuticals and highly satisfied internal and external clients. Provided orientation and teaching for pharmacy technicians.

• Maintained filing, recordkeeping and documentation for timely compliance to state, federal and corporate regulations, Health Information Privacy Protection Act (HIPPA), controlled substance inventories, and ensured that the requirements of regulations were being met.

• Demonstrated consistent career progression with increasing levels of responsibility. Researched new pharmacy software and hardware systems, Sourced technologies QS/1 (QS1), ScriptPro, authored and submitted Requests for Information (RFI) and Requests for Proposals (RFP).

• Responsible for negotiation and business correspondence necessary for contracts, acquired systems, authored risk assessment/mitigation templates and policies streamlined services and cut costs.

• Maintained record keeping and filing systems

• Provided Drug Utilization Review (DUR), Medication Therapy Management (MTM) and points of care (POC).

• Exercised Strong oral and written communication skills, and presentation skills at numerous “Brown Bag Events”.

• Streamlined processes, improved billing, decreased overall costs and improved patient quality of life.

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