Time Work Network Administrator
Resume:
Melissa Lynn McLaughlin
Troy, NY 12182
*******************@*****.***
National Account Executive with 10+ years of professional experience. Adept in establishing and enforcing strategies to achieve goals. Proficient in training staff members on company products, installation and selling techniques.
Professional Experience
Sr. Product Solutions Manager Express Scripts Franklin Lakes, NJ/Ballston Lake, NY
08/2011 - 02/2016
●Review and understand guidance released by Center For Medicare and Medicaid Services and interpret whether it pertained to my Employer Group Waiver Plan (EGWP) book of business
●Understand and explain monthly direct subsidy payments, quarterly coverage gap discount program payments, annual federal reinsurance, and low income subsidy payments
●Understand and explain questions surrounding the enrollment process (timing of, process of submission etc.)
●Manage new client implementations, typically resulting in 16 to 20 weeks of meetings and presentations both on site and through telecommunication
National Account Executive SXC Health Solutions Lisle, IL/Scotia, NY
0 6/2001-05/2010
●Managed prescription benefits for 23 customers throughout the eastern half of the United States including municipalities, private employers, Taft Hartley funds, workers compensation plans and Medicare accounts (EGWP and Prescription Drug Program).
●Managed Retiree Drug Subsidy processes for 11 Medicare Part D Retiree Drug Subsidy customers
●Presented quarterly/semiannual reviews to customers at their locations entailing cost saving recommendations (copay strategies, formulary/preferred drug list management, medication therapy management etc.)
●Developed strategy and procedure to upsell SXC’s Specialty Pharmacy Division, Ascend as well as SXC’s Mail Service
●Conducted new client as well as new account implementations
●Conducted client trainings both on site and via web ex
●Presented SXC products and programs to assigned accounts based on alignment of value for customers
●Managed escalated day to day issues with the assistance of the designated account coordinator
●Visited customers and clients on a quarterly basis and conducted surveys to ensure client satisfaction on a regular basis.
Sr. Provider Network Administrator National Medical Health Card Rx Port Washington NY/Latham
02./1999 - 06//2001
●Maintained pharmacy provider networks on multiple databases
●Maintained physician provider networks on multiple databases
●Served as a departmental representative in multiple weekly meetings and coordinated actions to be taken delegated from other departments
●Reviewed and executed provider contracts
●Responsible for all external contact with chain pharmacy providers nationwide as well as all independent pharmacy providers nationwide
Education
SUNY Oswego 8/1998
Bachelor’s Degree in Biological Sciences
Minor in Business Administration
Volunteer Experience
CROS Ministries, Soup Kitchen Delray Beach, Florida 2016 to 2017
Shelters of Saratoga, Saratoga, NY 2018
Nolan House/First Presbyterian Church, Saratoga Springs, NY 2019
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