Columbia, SC/ adk5eh@r.postjobfree.com / 984-***-****

Profile

Professional pharmacist MTM-certified with 10+ years of experience managing programs and people, analyzing prospective and retrospective data, and thorough knowledge of professional pharmacy practice related to dispensing medications, medication therapy management, and Medicaid benefits. Experience includes the management of 20+ employees in diverse work environments. Active licenses to practice in FL, NC, and SC.

Skills

Medicaid Pharmacy Benefits Management

Public Speaker

Data Analytics

Pharmacy Operations

Microsoft Office Suite

Mentoring next generation talent

Experience

PHARMACIST, Staff - CVS Health - Columbia, SC - Feb 2020- present

●Patient care advocate in high volume, fast-paced environment. Including first fill counseling, proactive prescriber outreach, and maintenance therapy management.

●Implemented COVID-19 testing for 5 stores in the district resulting in over 300 tests administered monthly, while ensuring a safe and sanitary environment.

●Operationalized workflow enhancements based on employee skills and experience resulting in a 30% improvement in customer satisfaction.

●Successfully increased vaccine administrations by an average of 14% by educating patients and aligning team members with clearly defined goals.

ACCOUNT EXECUTIVE - OptumRx PBM - Columbia, SC -July 2019 -Feb 2020:

●New pharmacy benefits program implementation for 2,000,000 beneficiary lives

●Client satisfaction for more than 300 clients

●Numerous client presentations for strategic accounts covering benefits, reimbursement for covered services, payment platforms, policyholder benefit website, and more.

●Travel 25% for onsite client support

DIRECTOR (Deputy)/Clinical Pharmacist CSRA/GDIT, Raleigh NC - 2013 - 2019:

●Achieved 100% program certification from the Centers for Medicaid & Medicare services for the NC Medicaid Management Information System (MMIS).

●Established clear goals with other department leaders resulting in an average 99% timely adjudication rate on over 10,000 monthly pharmacy prior authorizations.

●Annual client presentations that influenced 100% of their drug formulary decisions by presenting non-pharmacy claims data, a summary of the NC board activities, pharmacy claims, and more.

●Created a bi-annual clinical training program to host and develop an average of four pharmacy interns each year.

●Project leader for NC DHHS and DHB for clinical pharmacy program improvements for covered and non-covered pharmacy services.

●Formulary management services and preferred drug list implementation for the Department of Health Benefits (DHB) Medicaid pharmacy team by analyzing, creating, and presenting DUR quarterly and annually.

●Expert witness on behalf of the NC Medicaid Department of Health Benefits for an average of 10 monthly court proceedings where policy disputes were conducted and authored 100% of the administrative hearing summary case findings associated with these cases.

●Averaged 95% positive outcome for clinical pharmacy and lock-in program appeals for NC Medicaid and NC Health Choice programs.

PHARMACIST IN CHARGE, CVS Pharmacy - 2011-2013:

●Prescription growth and retention of weekly average of 30% by focusing on inventory, service, and patient care.

●Achieved TOP 5 pharmacy teams for the district in customer service.

●Ensured 100% compliance with all state and federal pharmacy practice regulations by training staff monthly and annually.

●Established patient medication adherence and compliance services by discussing therapeutic recommendations with the patient’s clinical team.

●Developed future company leaders using clinical training programs and conveying the company’s vision.

●Monthly written reports included SMART goals to improve and grow store performance.

Leadership and Activities

Oliver Gospel Mission, Volunteer: 2019-Present

Provide intake services to homeless men

Provide personal hygiene supplies, beds, safety and clean environment for residents

Wake County Pharmaceutical Association, Servant Leader: 2016-2019

Notified 100+ members of upcoming programs and chapter activities

Participate in local chapter events

Developed chapter website design, and maintenance.

Urban Wake Ministries, Volunteer Pharmacist: 2015-2016

Provided weekly patient counseling services and medication therapy management for underserved communities.

Conducted reviews of patient medication history.

Collaborated with onsite physicians to affect patient care.

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