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Engineer Manager

Location:
Old Bridge, NJ
Posted:
October 17, 2020

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Resume:

Rahul Patel, PharmD, RPH

* ***** ***** **.

Old Bridge, NJ 08857

Telephone: 732-***-****

E-mail: adg1xs@r.postjobfree.com

SUMMARY

A PharmD with 10+ years of experience managing and motivating a team of 30+ pharmacists to provide excellent service for the client. Outstanding interpersonal skills with a record of accomplishment in establishing positive relationships with patients, medical professionals, and peers. Proven leadership in training, accomplishing large volume of work, cutting costs and providing motivation.

Lead focus groups within Client Services to re-engineer processes and work flow to increase productivity, reduce costs and improve quality by creating cohesive team relationships.

wProject lead for Medco and ESI merger for Drug Coverage

wCollaborate with HealthCare Reform team to implement Affordable Care Act drug coverage changes impacting Book of Business.

Clinical Proficiencies and Process Improvements

wOperations, process, workflow, outsourcing, compliance, clear communications, strategic thinking, passion and mutual respect

wDrug Coverage demographics, familiar with multiple data vendors and sources

wAssisted in reduction of departmental drug coverage benefit coding error rate from 12% to 0.5% from 2006 to Present while handling volume increase of over 500% with staff growth by 300%

wIdentify error trends and implement preventative measures via process change, SOP modifications and training

Team Development and Quality Management

wMaintenance of departmental training program including the implementation of Standard Operating Procedures, departmental guidelines, and workflow tools for continuous quality management

wDrug Coverage SME for HealthCare Reform

oCollaborate with HealthCare Reform team to implement Affordable Care Act drug coverage changes impacting Book of Business.

wLead a team of 70+ professionals comprised of 10 domestic full-time staff and 60+ offshore consultants.

Technology and Automation Efficiencies

wImplemented a process using low-grade, high-speed automation tools in place of manual data entry, yielding increase in processing time efficiency, which led to increased productivity.

wProject lead for Medco and ESI merger for Drug Coverage

oManaged 20+ Domestic Pharmacist consultants, 5 Domestic Pharmacists, and 40+ Offshore consultants

oProvided guidance to IT staff (Abinitio team) in mapping rules resulting in a variance of only 0.3% on content and a seamless transition for over 2,000 clients.

wWorked with automation team to implement coding and QC automations for Drug Coverage benefits.

WORK EXPERIENCE

Express Scripts, Franklin Lakes, NJ April 2014 to Present

Sr. Manager, Clinical Pharmacist

Managed domestic staff of 25+ Pharmacists and 25+ offshore consultants in maintenance of drug coverage demographics for over 4,000 clients

Medco Health Solutions, Franklin Lakes, NJ April 2011 to March 2014

Director, Clinical Product Management

Managed domestic staff of 10+ Pharmacists and 25+ offshore consultants in maintenance of drug coverage demographics for over 2,000 clients

Medco Health Solutions, Franklin Lakes, NJ April 2007 to March 2011

Sr. Clinical Specialist

Managed domestic staff of 4 Pharmacists and 10+ offshore consultants in maintenance of drug coverage demographics for over 2,000 clients

Medco Health Solutions, Franklin Lakes, NJ April 2006 to March 2007

Clinical Specialist

Implemented and maintained drug coverage demographics for the Book of Business

Medco Health Solutions, Franklin Lakes, NJ April 2004 to March 2006

Consultant

Implemented and maintained drug coverage demographics for the Book of Business

Stop and Shop April 2002 to March 2004

Registered Pharmacist

Participated in pricing of medications to balance patient accessibility and company profitability.

Helped capture and retain patients via DUR, auto-fill system and increased compliance

Assisted in troubleshoot of third party issues with healthcare staff for special needs patients

Helped prepare compounded prescriptions, and maintained accurate patient records, dosing information and directions for use

Maintained procedures concerning quality assurance, security of controlled substances and disposal of hazardous waste drugs

Maintained all records, documents, quarterly employee evaluations and adhered to all HIPPA guidelines and procedures to keep accreditation intact

Increased efficiency and production by multi-tasking in a very fast paced environment

Employment experience prior to April 2002 is available on request

EDUCATION

University of Sciences, Philadelphia, PA

Philadelphia College of Pharmacy

PharmD (May 2001)

LANGUAGE AND TECHNOLOGY SKILLS

Microsoft Office

Fluent in English, Hindi and Gujarati



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