Sharon Joy Rhoden

Interview availability- Mon -Fri – 10am to 5pm - Anytime is preferred

Start Availability – Immediately

Professional Summary:

Sharon an experienced Pharmacist with active Pennsylvania Pharmacist License.

Processed Appeal Redetermination Prior Authorization for Medicare Part D, Part B & Part C.

Performed Aetna coverage determination and clinical appeals, prior authorization, maintaining compliance with ERISA and Medicare.

Performed duties like Compounding and dispensing medication, timely and accurately.

Checked compatibilities and incompatibilities of various medications in an outpatient/inpatient environment.

She is a dedicated professional who has strong knowledge of medical terminology and is available to join immediately, if offered.

Education:

B.S. in Pharmacy, cum laude, University of Pittsburgh, School of Pharmacy Pittsburgh, PA, 1990

Licence & Certification:

Pharmacist Certificate

Certification- RPh Pennsylvania

License number: RP037639L, Expiration Date: 09/30/2024

Professional Experience:

Member Appeals Analyst

Highmark Health Inc

Jun 2018 to Oct 2023

Processing Appeal Redetermination Prior Authorization for Medicare Part D, Part B & Part C.

Member Appeals Analyst (Contractor)

Highmark Health Inc

Nov 2015 to Jun 2018

Processing Appeal Redetermination Prior Authorization for Medicare Part D drugs.

Clinical Pharmacist

CVS

Jan 2015 to Jul 2015

Aetna coverage determination and clinical appeals, prior authorization, maintaining compliance with ERISA and Medicare.

Responsible for reviewing mediation exception requests.

Worked as part of the team to meet business unit objectives.

Staff Pharmacist ( Part-Time )

Health South Harmarville, Pittsburgh

Nov 2002 to Jun 2014

Compounding and dispensing medication, timely and accurately.

Checking compatibilities and incompatibilities of various medications in an outpatient/inpatient environment.

Providing drug information to doctors, nurses, patients, and dietary personnel.

Supervision of pharmacy students and pharmacy technicians.

Staff Pharmacist

Children’s Hospital of Pittsburgh, Pittsburgh, PA

Aug 1990 to Oct 2013

Preparation of chemotherapy and IV medications.

Compounding and dispensing medication, timely and accurately.

Checking compatibilities and incompatibilities of various medications in an inpatient environment.

Providing drug information to doctors, nurses, patients, and dietary personnel.

Supervision of pharmacy students and pharmacy technicians.

Working in an acute and critical care setting.

Presenting pharmaceutical support at codes.

Pharmacy student/ Pharmacy technician

University of Pittsburgh, School of Pharmacy, Pittsburgh, PA

Aug 1980 to Aug 1990

Worked under the supervision of the pharmacist, support personnel.

Preparation of IV and prescription medication.

Delivery of medication to patients.

Working with the pixis system.

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