Customer Service

Lucy Mabry

Tel: 972-***-****

Email: *********@*****.***

Junior Business Analyst with over five years experience in Healthcare Industry and specifically in the pharmacy field.

• Trained to organize discussions, workshops, JAD, presentation skills, resolving issues and conflicts.

• Knowledge and Experience on Actuarial models (Contingent Payment Models and Survival Models, frequency and

Severity model, Compound Distribution model) Insurance, Claims Billing, Claims re- pricing, Claims Payment

Processing.

• Worked with Medicaid, Medicare which includes claims processing under HIPPA Compliance

• Knowledgeable in Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rule,

American Disability Association (ADA),Texas Tobacco & Alcohol Beverage Law, Federal Pseudoephedrine

Law, Controlled Substance Act State of Texas, ICD-9, ICD-10

• Extensive knowledge and experience in Pharmacy Benefit Management (PBM)

• Strong Organization Skills

Technical Skills:

Databases Oracle SQL Server, MS Access, Microsoft SQL 2008 Server Management,

Management & Business Tools MS Project, MS Visio, MS Word, Excel, PowerPoint, Traceability Metrics, and

Rational Rose/Requisite Pro, SharePoint, Citrix, Business Process Modeling

SDLC Methodologies Agile, Waterfall, SDLC, Swim Lane

Operating Systems Windows XP, Windows 7, Windows NT, Windows server 2003, 2008

Business Modeling Tools MS Visio, Microsoft office (Word, Excel, Power Point, Project, Outlook,

EDUCATION

Legon University, Ghana Bachelor in Business Management

Certified Pharmacy Technician Pharmacy Technician Certification Board (PTCB)

DFW Technologies Software Developments Programs

EXPERIENCE:

1

CVS/Caremark- Irving Tx 2012- Current

Field Colleague Trainer

• Being accountable for the training and delivering a standard learning curriculum and program within the

Region

• Reports to HR Director/Recruiter for training accountabilities and communicate effectively with all levels

of the organization

• Develop/share training techniques

• Aiding in the training process for new programs/roll-outs

• Conducting interviews and making hiring recommendations to the Field Managers and Recruiter as

needed

• Conducting and coordinating management and leadership skills training classes, based on local needs

• Evaluating success of learning events and making changes as needed

CVS/Caremark – Irving Tx 2011- 2012

Junior Business Analyst/ Pharmacy Operations

• Responsible for preparing all requirements documents and associated tools and resources

• Facilitate and manage special projects as they relate to designated areas. Analyze, initiate and

implement new business/system processes utilizing best practices to optimize department

effectiveness.

• Assists in planning and designing business processes; assists in formulating recommendation to

improve and support business activities.

• Test all processes and software by creating test plans and creating test cases/scripts. Conduct tests

using automated tool.

• Develop documentation, processes and procedures and modifying systems requirements

documentation to meet client needs.

• Participates in meetings with clients to gather and document requirements and explore potential

solutions

CVS/Pharmacy- Plano Tx (2005-2011)

Lead Pharmacy Tech/District Inventory Specialist

• Coordinate compliances training, scheduling, and time management through development planning for prioritizing

and meeting deadlines

• Responsible in managing and supervising inventory control programs in over 46 store locations in the Districts

• Supports and coordinates on-the-job training and identify and analyze performance gap and address employee

development needs

• Executed day-to-day inventory activities

DaVita Rx- (PBM) 2006-2007

Prior Authorization Associate

• Experienced in Rxclaims for Prior Authorizations

• Reviews procedure for requests for authorization needed based upon insurance standards to achieve service level goals

• Handled high volume of complex inbound calls and emails and faxes

2

Contact this candidate