Utilization Review Pharmacy
Resume:
Jessica Neal
Rochester, IL *****
********@*****.***
I am a dedicated and experienced pharmacy manager looking to expand on my health care career. I am passionate about helping my patients and in my most recent position have discovered a real need for medication therapy management. Please consider me for your position.
WORK EXPERIENCE
Registered Manager Specialty Pharmacy
Walgreens - Springfield, IL
July 2015 to Present
● Manage daily pharmacy operations including data utilization and product review, medication therapy management, patient counseling, third party processing, denials and adjudication (including Medicare, Medicaid, commercial insurance), inventory management and cash management.
● Enforce and maintain compliance to all state and federal laws.
● Oversee medication reconciliation, medication adherence packaging, prescription deliveries, and follow up patient consultations.
● Build and sustain relationships with a variety of healthcare professionals- Doctors, nurses, assisted living and nursing home directors and staff, pharmaceutical reps.
● Oversee staff scheduling, hiring and training.
● Build and maintain professional relationships with patients and/or caregivers while complying with HIPAA regulations.
Pharmacist
Walgreens - Springfield, IL
July 2000 to July 2015
● Perform data utilization review, product review, fill prescriptions, patient counseling, inventory control, cash management.
● Responsible for managing daily pharmacy operations in the absence of the manager.
● Maintain certifications, licenses, and maintain compliance with all state and federal laws. EDUCATION
Bachelor of Science in Pharmacy
St. Louis College of Pharmacy - St. Louis, MO
May 2000
SKILLS
● Patient Counseling
● Pharmacy Management
● Experienced
● Medication Therapy Management
● Third Party Billing Processing including Medicare and Medicaid
● Medical Terminology
● HIPAA
● Compounding Medications
● Specialty Pharmacy URAC accredited
● Clinical Pharmacy experience
● Immunization administration
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