DEEPA SUKHATANKAR

Cary, NC *****. 919-***-****. ad1zq3@r.postjobfree.com

Objective: Organized Clinical Pharmacist/Prior Authorization Pharmacist offering 20 years of experience. Proficient in PBMs, Medicare Part D, and Medicaid rules and regulations, Medical Claims and Appeals combined with solid superior integrity and command of medical ethics. Excellent reputation for resolving problems and improving customer satisfaction. A Versatile Pharmacist with excellent interpersonal skills, patient care experience seeking a position with an organization where I can utilize my skills for delivering the best possible outcome.

Professional Strengths:

Expert Understanding of PBMs, Medicare Part D, and Medicaid rules and regulations.

Effective Team Member, Comfortable with leading or collaborating,

Skilled in Medication Therapy Management, Drug Information and Drug Utilization Reviews, Prior Authorizations/Appeals.

Certified Diabetes Educator, Certified Vaccinator.

Work Experience:

Healthcare Clinical Evaluator Advisor (GDIT, Inc.)- Mar 2016- Present

Expert on all things related to PBMs, formulary structure, pricing, rebates and other contractual items that affect client plan design.

Collaborate with the Pharmacy Director and the Clinical Team in analyzing pharmacy and medical claims data, including but not limited to, 340b claims data to evaluate and implement solutions to address inappropriate utilization, improve outcomes and optimize drug spend.

Formulates detailed concise case summaries understood complex policy criteria and rendered coverage determinations based on clinical criteria and plan design in a fast paced/dynamic environment.

Reviews over 3600 prior authorization requests per month to make clinical decisions for drug products according to member benefits, coverage criteria, and clinical guidelines. Creates treatment plans balancing medical expertise, patient goals and individual compliance levels.

Apply specialized knowledge of the scientific and clinical use of medications, including Drug interactions, Dosing, Adverse effects in accordance with the North Carolina pharmacy laws, Medicare Part D, and Medicaid rules and regulations.

Monitors FDA and manufacturer updates for material changes to drug inventory, including but not limited to, recalls, black box warnings, new drugs to the market and brand to generic change.

Process pharmacy appeals, interpreting member and provider submitted clinical information, and researching clinical decisions. Assist in completing documentation necessary for the Formal Hearing Requests required by the State of North Carolina.

Pharmacist-in-Charge (Rite Aid Pharmacy) - Jun 2014- December 2017

Managed and was in Charge of hiring, training of the personnel in the Pharmacy Team.

Was Responsible for and oversaw the execution of accurate input and administration, compounding and monitoring of the dispensing process.

Administered over 150 vaccines including, not limited to Influenza, pneumococcal, zoster vaccines.

Effective execution of the proper procedure to achieve desired goals in customer service. Independently implemented the protocol for the timely maintenance of the inventory, timely disposal of the outdated and recalled drugs.

Counseled and assisted patients with their concerns about the drug regimens, nutrition and related queries. Achieved the successful completion in the Medication Therapy Management, Disease state management. Helped and guided patients by assisting them with diabetic supplies usage, Medicare coverage, and third party conflict resolution. Certified Diabetes Educator.

Staff Pharmacist (CVS/Pharmacy) - Jul 2007- May 2014

Prepared, administered, compounded and monitored the dispensing process in a pharmacy filling 180-250 prescriptions a day. Trained Pharmacy technicians and assisted them in learning the workflow. Administered over 200 flu shots per Flu season.

Consulted patients in understanding the importance of nutrition, timely usage of medications and adherence to the drug regimen initiated by physicians.

Prepared, interpreted and evaluated drug therapy, ensured proper control and dispensing of narcotics. Interacted with clinical pharmacists, physicians, nurses and insurance companies regarding drug therapy management.

Counseled and assisted patients on their questions regarding usage of medications, nutritional supplements, and herbal preparations.

Oversaw inventory management. Was responsible for timely maintenance of store inventory paperwork. Implemented and trained technicians in proper management of unused and outdated inventory.

Education:

University of Pune, Pune, Maharashtra, India.

BS in Pharmacy, Graduated cum Laude, 1996.

Volunteer Experience:

Volunteered as a Teachers’ Aid in the classrooms at Wake County Public Schools when they needed extra help to focus read to some students.

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