Tester
Resume:
MATTHEW KRAJCAR
Analyzing Data
Time Management
Complex Problem Solving
Resource Planning
Consistent & Dependable
Leadership
Claims Adjudication
S K I L L S
Experienced professional with 6+ years working in
pharmacy benefits and operations. Demonstrated
success in identifying and resolving complex issues, implementing innovative solutions and ensuring
compliance with regulatory guidelines. Results
driven, proactive leader or team player, committed to optimizing operational efficiency and achieving organizational goals.
S U MMARY WORK E X P E R I E N C E
CVS Caremark (Remote)
Planned and coordinated comprehensive testing activities, including test case development and scripting to ensure thorough results. Collaborated with BSA and Development teams to assess and validate objectives and requirements, ensuring their suitability for testing. Contributed to the creation and maintenance of critical test data, validation procedures, and end-to-end testing workflows.
Proficiently executed data validation queries within test scripts, ensuring the integrity of data throughout the testing process. 2023-Present
2019-2023
QA BENEFITS TESTER
FORMULARY CODING SPECIALIST
Elixir/Rite AId (Remote)
Quickly promoted to this position by demonstrating competent performance, and proving to be reliable and trustworthy.
Implemented formulary changes within the pharmacy adjudication system to correspond with client requests and updates.
Maintained a high level of attention to detail while working in the adjudication system, as well as while conducting routine audits to ensure compliance with CMS regulations.
Performed data analysis daily, including in real-time evaluation and executing comprehensive data validation procedures to ensure peak performance. CVS Caremark (Solon, OH) 2018-2019
INTERIM SUPERVISOR, MED-D OPERATIONS
Effectively managed staff schedules while collaborating with resource management to ensure business needs were met.
Regularly held performance evaluations, providing constructive feedback and demonstrating correct protocols with my team.
Developed and organized training manuals, visual aids, and other helpful materials; including Excel spreadsheets, to put my staff in the best possible position to succeed.
E D U C A T I O N
Mayfield High School 2004-2008
High School Diploma
Kent State University 2008-2010
Business Administration
Pharmacy Benefits Specialist
C O N T A C T
-*.*******@*******.***
-linkedin.com/in/mkraj90
CVS Caremark (Solon, OH)
Conducted weekly meetings with other leads and supervisors to deliberate on prevailing challenges and strategize effective solutions. Established and fostered robust professional relationships with colleagues at all organizational levels and across multiple departments, resulting in heightened efficiency and morale, ultimately elevating productivity and outcomes. Consistently exceeded performance expectations, maintaining an accuracy rating above 98% for the duration of my tenure.
Displayed versatility by effectively learning different aspects of the business and then teaching this information to my team.
Continously learned new aspects of the business and gained knowledge by completing special projects or trainings, as well as attending some higher level meetings with Managers and Directors.
CLAIMS REP II (SME)
Microsoft Office
Salesforce
Selenium
Tableau
SOFTWARE
2016-2019
Medical Coding
Utilization Management
Formulary Management
I.T. & Computer Systems
Test Automation
Benefits Design
Test Cases & Test Plans
SharePoint
Service Now
JIRA
RxClaim/AS400
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