DR. DEREK DOMINGUEZ PHARM.D, RPH.

Clinical Pharmacist

SUMMARY

Derek is an active Registered Pharmacist in the state of California with over 5 years of experience in his profession. He has one plus years of experience in the managed care setting. He has previous experience as a Prior Authorization Clinical Pharmacist, a Clinical Pharmacist, and has been a Pharmacy Manager. Some of his previous responsibilities have entailed working on guidelines for formularies, medication reconciliation, telephonic patient consulting, frequently interacting with HMO’s, PPO’s, and other insurance companies regarding billing and reimbursement issues, and working within sales and support teams to provide exceptional customer service, revenue generation, and long-term account goals. He is a caring and conscientious clinician accompanied by an expert level of pharmaceutical knowledge. He is a forward thinker looking to expand his experience and secure a long-term position in the pharmaceutical/healthcare industry.

TECHNICAL SKILLS

Microsoft Office (Word, Excel, PowerPoint, Outlook, Access), Inventory/vendor management, Pharmaceutical Sales, Strategic Planning, Financial Analysis and licensing.

PROFESSIONAL EXPERIENCE

Aetna Prior Authorization Clinical Pharmacist 10/2018-present

Worked as a clinical pharmacist for Aetna Medicare Part D prior authorization department,

Received faxes submitted on behalf of patients and calls regarding prior authorizations. Made outbound calls to Medical doctor’s office to clarify and obtain any missing medical information to help render a decision for a patient.

Utilized CVS COS and claim systems in conjunction with fax and member calls for specific drug requests.

Used clinical criteria and a variety of drug references (i.e Micromedix and AHFS) to help render a decision approve/deny certain medications requiring prior Authorization for Medicare population, 65+.

Types of Prior Authorizations requests included non-formulary drugs, step therapy, and quantity limit requests.

Empire Pharmacy Consultants, Doral, FL 06/2017-10/2018

Worked as a travel pharmacist for independent community pharmacy’s that needed coverage for the absence of the owner/Pharmacist-in-Charge.

Check whether the prescription will interact negatively with other drugs that a patient is taking or any medical conditions the patient has.

Utilized a variety of software systems; Enterprise Rx, Cerner, Abacus etc.\Complete insurance forms and work with insurance companies to ensure that patients get the medicines they need

Oversee the work of pharmacy technicians and clerks.

Checked bubble pack meds for deliveries.

Ordered prescription and controlled drugs for inventory from third party vendors such as Mckesson, Cardinal Health etc.

Flexible Pharmacy Services, Avalon, CA 04/2018-05/2018

Assumed the responsibilities of the pharmacist in charge at Leo’s Catalina Drugstore on an as needed basis.

Utilized SureScripts for electronic transmission of C-II prescriptions from the Island’s Medical Facility.

Discussed with Physician’s office for a medically appropriate resolution of any Rx insurance issues and checked orders for accuracy and clinical appropriateness. Addressed any insurance issues or rejections with the company via the telephone.

Counseled patients regarding proper medication usage and side effects to look out for.

Worked with Medical Facility to supply emergency medications and facilitate outpatient care.

Utilized Pharmaserv software for pharmacy dispensing, and patient care.

Family Pharmacy LLC., San Juan Capistrano, CA 08/2017-01/2018

Pharmacist-in-Charge

Managed day-to-day transactions within the pharmacy, maintain accurate control over patient data, inventory of all pharmaceutical products and ensured adherence with applicable state and federal laws and rules regarding national retail pharmacy operation. Provided leadership to the department and to others through positive motivation, goal setting and training.

Maintained and balanced staffing needs in line with profitability. Streamlined processes to ensure work is processed efficiently to meet pharmacy performance standards. Analyzed trends in performance/programs to provide feedback/recommendations to organization for improvements. Participated regularly in production meetings and pharmacy issues, observations, and improvement recommendations. Worked with corporate to ensure staff received training on process changes and as needed to maintain quality, accreditation, regulatory, HIPAA and efficiency standards/certifications. Coordinated with the corporate legal team to ensure the pharmacy's licensure with various state pharmacy boards is maintained and all licensure requirements were met.

Provided guidance for board audit and to pass board retail pharmacy inspection. Knowledge to become licensed in all 50 states, state laws requiring a non-resident pharmacist license and the ability to conduct business in other states than our own.

Ensured policies and procedures are in compliance with state board of pharmacy requirements.

Pharmaca Pharmacy, Pacific Palisades, CA 04/2017-08/2017

Pharmacist-in-Charge

Supervised patient safety and adherence to drug pharmacotherapy and non-pharmacological interventions for disease state management. Facilitated inventory management; shipping and receiving.

Communicated patient safety and adhered to pharmacy professional practice.

Facilitated C-II inventory management. Maintained inventory count.

Communicated directly with patients, insurance and doctors regarding appropriate Rx given the situation.

Provided unparalleled levels of customer service in promoting Pharmaca standards and services.

R.J Donovan Correctional Facility 08/2016– 03/2017

Pharmacist-I

Responsible for managing pharmacy operations with regard to proper formulary, staff training, procurement, and other insurance billing.

Performs the full range of general licensed pharmacist duties, including but not limited to consulting with the prescribers and patient/inmates; identifying, evaluating and interpreting prescriptions; acquiring, compounding, and dispensing of medications, vaccines and other therapeutic agents.

Managed workflow for I/P medication administration times with nursing stations in each yard to insure proper adherence.

Utilized Maxor’s Pharmacy software system.

Medication reconciliation was of upmost importance. If I/P moved cells or had an inter-facility transfer then up to pharmacy to make sure meds were available for administration or KOP (keep on person),

Oversaw weekend operations in a supervisory role since manager was off duty and assuming regular staff pharmacist duties during the week when Pharmacy Manager was on duty.

Career Staff Pharmacy (AHF and Haggen Grocery Stores) 06/2015- 05/2016

Clinical Pharmacist (Part Time)

Assumed the responsibilities of the pharmacist in charge in a variety of pharmacy settings including AHF and Haggen pharmacies.

Utilized EPS pharmacy software system.

Clarified drug orders with nurses, doctors, and checked orders for accuracy and clinical appropriateness.

Addressed any insurance or medical safety concerns as needed.

Maintained proper patient databases to include appropriate past medical history, accurate clinical and laboratory data, and concurrent medication including herbal and over-the-counter medicines.

OptumRx/Prior Authorization Clinical Pharmacist 09/15 - 06/16

Reviewed cases requiring prior authorization for determination of insurance coverage.

Determined coverage based on utilization management criteria for reasons including but not limited to: medical necessity, step therapy, non-formulary and excluded drug review, medical director review, etc.

Reviewed and completed 55 cases per day for commercial market, individuals, and employees.

Conducted meetings and answered incoming calls as needed. Made outbound calls to doctors and nurses as instructed by protocol to assist in determining missing clinical information and update any records pertaining to the member to help approve/deny medication coverage.

Called patients when needed regarding their medication coverage and missing identifiers or any relevant data they may have available to help approve their case.

Ensured correct edits were recorded in RX claims systems to insure proper claim processing at the retail pharmacy level.

Worked on the decision tree and formulary guidelines for the Catamaran Merger.

NOVA Biologics Inc., Oceanside, CA 05/14 - 06/15

Pharmacy Manager/DRIC

Oversaw all Pharmaceutical sales transactions insuring proper receipt, handling, storage, and distribution of pharmaceuticals and medical devices.

Provided regulatory support in obtaining and maintaining proper licensure to allow for the wholesale of drugs and devices between states and across international borders.

Responsible for sourcing and developing client relationships and referrals through effective use of market analysis, industry applications, and oversight of regulatory affairs.

Worked within sales and support teams to align with companies values in providing exceptional customer service, revenue generation, and long-term account goals.

Demonstrated technical selling abilities and product knowledge in all areas to allow effective sales production.

Utilized PubMed for Research purpose to discover and find Clinical Trial/research for new uses of Albumin such as being an excipient in cell culture and vaccine development. Using Albumin’s molecular structure to help facilitate new cancer treatment discoveries.

Ron’s Pharmacy Services, San Diego, CA 09/13 - 04/14

Staff Pharmacist

Filled approximately 60 scripts per hour originating from a variety of media sources including fax, e-script, eFax, email, physician order sheets, and hardcopy for patients in LTC setting (Skilled Nursing/Non-Skilled Nursing Facilities, LTC homes and hospice care)

Answered incoming phone calls and assisted nurses and doctors with dosing questions, medication administration techniques, and drug interactions.

Consulted patients when necessary on safe and appropriate use of medications, including monitoring effectiveness and adverse side effects.

Evaluated clinical information to help determine the best medication therapy for the patients located in the Skilled-Nursing and Long Term Care Facilities in the SoCal Region.

Offered Pharmacy services and delivery for the San Diego Padres.

Medical Arts Pharmacy 07/12 - 08/13

Staff Pharmacist

Reviewed and verified prescription/medication orders from the pharmacist-in-charge or other authorized prescriber for completeness, correctness, and legal authenticity.

Dispensed and compounded prescriptions while maintaining accurate patient records, dosing information, indications, and directions for use.

Regularly interacted with PPO, HMO, and other insurance providers concerning billing or reimbursement issues and made referrals as necessary.

Walgreens Pharmacy 07/10 - 07/12

Intern Pharmacist

Dispensed prescriptions to patients in an efficient and accurate manner while ensuring customer satisfaction under direct supervision of licensed pharmacist.

Counseled patients on the safe use of their prescriptions and over-the-counter medications.

Efficiently resolved patient medication or insurance issues, and assisted in streamlining work flow.

Interacted with nurses and doctors via phone for clarification of drug orders or medication concerns.

EDUCATION

University of Hawaii, Hilo

Hilo, HI

Doctorate of Pharmacy (Pharm.D)

Bachelor of Arts, Pharmacy Studies

University of California, San Diego

San Diego, CA

Bachelor of Science, Human Biology

Minor in Psychology

LICENSES & ACHIEVEMENTS/CERTIFICATIONS

California Registered Pharmacist RPh. License #68824 2013-present

Dean’s List University of Hawaii, Hilo College of Pharmacy

CPR/First Aid/AED/ACLS Certified American Heart Association

Basic Tobacco Intervention Hawaii State Department of Health

Biological Agents and Blood Borne Pathogens Certificate American Heart Association

Pharmacy-Based Immunization Delivery Certification APhA

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