BRENT Qualey

ad4m5h@r.postjobfree.com

PROFILE

Experienced in Client Management, along with audit of client benefit plans.

Collaborate with key stakeholders in organization to deliver end results.

Organized, able to meet deadlines within a fast-paced environment.

SKILLS

AUDIT SUBJECT MATTER EXPERT

CLAIMS SERVICE WARRENTY SME

SALES OPERATIONS

PERSCRIPTION BENEFITS

AS400

REPORTING & DOCUMENTATION

ACCOUNT MANAGEMENT

MENTOR

CLIENT SATISFACTION

EXPERIENCE

CVS Health – Manager, Client Audit

April 2022 - Present

Client-faced project management responsible for coordinating, managing, tracking, reviewing, researching, and assisting with multiple complex audits initiated by CVS Health clients (i.e. pre-implementation, post-implementation, rebates, financial, and claims/pricing)

Work with various auditors, clients, 3rd party auditors, legal colleagues to ensure the completion of audits’

Understand intricacies of claim adjudication related to claim testing

Have a knowledge base of client documentation and formulary setup (CRD, CPM, standard formulary options), as well as provide guidance to internal/external parties of updates/changes needed per client intent

Responsible for the timely and satisfactory resolution of exceptions identified during the audit process, includes having a knowledge base around claims adjudication and drug pricing, to review and respond to all the auditor’s questions in a short window of time

CVS Health – Account Manager

Feb. 2020 – April 2022

Received 5’s on Client survey

Service Warranty Ambassador

Manage client delivery and satisfaction for high profile client

Supports ~5 million Members, $3.5B Annual Revenue

Claims Service Warranty Subject Matter Expert and Mentor

Member Accumulators Subject Matter Expert

Problem solve, claim accumulations

Client Ad-Hoc reporting, including 340b

Daily research on Encounters, Compliance, Regulations, Specialty Copay Cards, Member Communications CET, Service Warranty, Reporting, Customer Care

Point of contact for escalated issues. Gather the internal teams to resolve

Manages high volume of requests for one of CVS’s highest profile clients

Provides exemplary service and support to ensure client satisfaction

Continuously seek and use feedback from clients to identify improvements ensuring White Glove Service

Snyder’s-Lance Inc., Owner/Account Management

2008 - 2019

Successfully Independent Business Owner of Snyder’s-Lance Retail Territory

Success based on Superior Customer Commitment, Responsiveness and Reliable Relationships

Manage large portfolio including a variation of different product lines which generate more than $500,000 in annual retail sales.

Responsible for the overall growth, retention of mid and large market accounts, including Wal-Mart, Jewel-Osco, Mariano’s, Kroger, Albertson’s, Safeway, Target, BP, Shell, Citgo and Independent Convenient establishments

Plan a weekly agenda within assigned sales territory by maximizing Direct Store Delivery sales strategy, growing brand/product revenue, market share, and profit

Evaluate and respond to competitor activities, maintain/increase product space, make secondary placements, gain additional displays, make effective sales presentations, make effective use of sales data

Collaborate daily with Management to ensure forecasts meet territory expectations

Effectively communicate findings/recommendations to Store Management to increase productivity

Train new account manager and merchandisers

EDUCATION

Northern IL. University

Bachelor of Arts:

Business Communications

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