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