Prior Authorization Managed Care

Gary Friedman

(Scottsdale, AZ)

Professional Summary

Gary is Registered Pharmacist with adaptive experience in Prior Authorization for 4+ years.

Certified Geriatric Pharmacist

Currently obtaining ‘Spanish in Pharmacy’ Certification

Sterile IV Compounding Certification

Over 20 years of experience with Long Term Care, Managed Care, and Hospital/Inpatient

MTM experience with Medicare Part D Programs within Managed Care Programs

Sterile Compounding experience with Bio scrip Infusion/ Home Infusion

Proficient with Sterile Compounding Procedures and Guidelines

Infusion/Specialty Therapies Telephonic MTM

Comprehensive Medication Review

Medical Record Review and Recordkeeping

Education

Nova University, Ft. Lauderdale, FL

Doctor of Pharmacy

License and Certification

Board Certification Geriatric Pharmacist

Pharmacist licenses: Colorado, Texas, Arizona

Skills

IVs

Dosing

Verification

Batch Review

TPNs

Consulting

Infusion/Specialty Therapies Telephonic MTM

Comprehensive Medication Review,

Consulting

Medical Record Review and Recordkeeping

Mediation Reconciliation

Medication Discharge

Utilization Review

Regimen Review

Chronic Disease Management

Intervention/Barriers Detection

PBM

Professional Experience

GVF Consulting Services, Scottsdale, AZ 01/2020- Present

Consultant Pharmacist (Per Diem)

Pharmacogenomics Testing Marketing (Admera Health)

Medical Writing and Editing (Pharmacist JobCafe)- Writing/Editing Pharmacist career articles for newsletter

Bio scrip Infusion/Kindred Healthcare, Austin, TX 05/2016- 11/2019

Clinical Pharmacist

Utilized Meditech/Pyxis/Cerner automated systems

Formulary planning and implementation

Utilization management

Data Analysis

Presentations

Electronic Medical Recordkeeping

Medication reconciliation and medication discharge counseling for a 50-bed Rehabilitation patient population to include anticoagulant

Epoetin dosing

Performed clinical consults

Reduced polypharmacy in new admissions by 30-35%

Sterile IV Compounding Certification

Outcomes - MTM/Cardinal/Mirixa 05/2015- 05/2016

Consultant pharmacist (Remote)

Medication Regimen Reviews/ Chronic Disease Management

PBM

Conduct Comprehensive Medication Reviews(Telehealth) with intervention strategies for Medicaid and Medicare part D patients, as part of Managed Care program

Improved intervention/adherence rates by 75% through communication with PBM patients

HCA Largo Medical Center, Largo, FL 09/2010- 03/2015

Pharmacy Supervisor/ Clinical Pharmacist

Medication Reconciliation (Format: Patient interviews) in a 70 patient

Behavioral Health and Rehabilitation facility (utilizing ASHP, JCAHO recommendations)

Hospital team collaboration (Medication Variances, Root Cause Analysis

Adverse Drug Event surveillance program

Automated Systems: Electronic physician order entry-MAR bar-coding.

Corporate Compliance: Focus on controlled substances, USP 797

Clinical interventions focused on antimicrobial stewardship, kinetic dosing, TPN, IV to PO

Omnicare Pharmacy Services, Denver, CO 2009- 2010

Consultant Pharmacist

Medication Regimen Review

Consultant to six nursing homes to include about 600 residents

Psychotropic Patient Care Committee and Medication Utilization Committee participation in all skilled nursing facilities

Affected reduction in psychotropic usage and duration of use by 30%

Performed chart reviews (lab monitoring, drug-drug interactions, adverse events)

All Children's Hospital, St. Petersburg, FL 2005-2009

Clinical Pharmacist

Worked with pediatric residents, ARNP to formulate Neonatal TPN plan

Performed Medication Safety initiatives to include dose-weight checks, antibiotic interventions, and adverse drug event review

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