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Prior Authorization Clinical Pharmacist

Location:
St. Louis, MO
Posted:
January 18, 2023

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Resume:

Grace Sit

** ******** *** ****, ***** Peters, Missouri 63376

Phone: 636-***-**** E-mail: figurespdsk8mom@yahoo.com Clinical Program Manager with largest Pharmacy Benefit Management. Registered Pharmacist experienced in Corporate, Retail, Hospital, Consultant, Clinical, Long Term Care, Compounding and Internet settings. Enjoys working with clients, patients and health care providers on a one- on-one basis. Experience in training Pharmacists, technicians and students Diamond Pharmacy Oct’22 - Present

Registered Pharmacist

- Visit St. Charles County Jail every 3 months for 1-2 hours, flat pay visit - Check MARS to make sure it is done properly

- Check new and expired medications

- Review licenses and policies

- Check refrigerator temperatures for medicines

Contract Pharmacy Services Feb ’16 - Oct ’22

Registered Pharmacist

- Visit St. Charles County Jail every 3 months for 1-2 hours, flat pay visit - Check MARS to make sure it is done properly

- Check new and expired medications

- Review licenses and policies

- Check refrigerator temperatures for medicines

Medicine Shoppe Aug ’17 - Jan ’20

Registered Pharmacist as Needed

- Bio-Identical Hormones compounding

- Veterinarians compounding

- Various types of formulation

Centerpointe Retail/ Mental Hospital Apr '15 - May’17 Registered Pharmacist

- Supervising Pharmacist, Students, and Technicians- Consulting patients, physicians and nurses in hospital and group home environment

- Processing and verifying prescriptions for outpatient and group homes

- Manage inventory in pharmacy and group homes along with working contract pricing of drugs

-Manage Prior Authorization request. Process Prior Authorization requests by evaluating Step Therapy, diagnosis, indication and laboratory results.

Volunteer Missionary Pharmacist and Sewing Instructor Jan

'14 - Feb '15

Families of the Dump and Women In Prison

- Volunteer teaching healthcare skills and reviewing low income people medications for families living next to the dump

- Teach sewing classes to Women In Prison. They are able to support themselves later

RPh on the Go Jan'07-May'13

Relief Pharmacist

- Covered various pharmacist settings for the Saint Louis areas on an "as needed basis" or extended contract - Worked in Retail, Pharmacy Benefit Management, Hospital, Long Term Care, Low Income Clinic, Specialty Pharmacy, and Orphan Drugs Pharmacy

Express Scripts Mar '07 - Dec '07

Manage Care Consultant Contract Pharmacist for Department of Defense

- Consulted physicians and patients regarding drug allergies and ICD-9 medical conditions

- Scrubbing new prescriptions from the physicians and forwarding prescriptions to mail order to be filled

Magellan Health Services Feb '06 - Jan '07

Consultant Pharmacist for Tennessee Medicaid

- Consulted Physicians, Psychiatrists, Nurses and Physician Assistants about correct dosing of psychiatric drugs for adolescents Medicine Shoppe Jan '04 - Mar '06

Registered Staff Pharmacist

- Pharmacy patient consultations by answering daily questions by members

- Processed new and refilled prescriptions and contacting physicians when necessary along with checking compounding prescriptions

- Pharmacy specialized in compounding like veterinarian, pediatric and bio-identical hormones

Express Scripts Feb '03 - Aug '03

Clinical Pharmacist Consultant

- Consulted Physicians for Express Scripts largest account, Blue Cross Blue Shield of Mass.

- Monitored individual physician prescribing habits and recommending formulary alternatives

- Evaluate key disease management and promote overall well- prescribing habits with physicians by academic detailing -Prior Authorization, Step Therapy, and Hepatitis C

DePaul Hospital Jan '02 - Nov '02

Clinical Pharmacist

- Responsible for multiple satellite pharmacies and ICU

- Evaluated and recommended opportunities for therapeutic substitution work for clinical appropriateness

- Under Physician supervision, wrote prescriptions for TPN, Antibiotics, Coumadin and Heparin

Express Scripts Oct '99 - Dec '01

Clinical Program Manager for Self-Funded Companies

- Pharmacist for the Sales Team responsible for visiting new and existing clients

- Involved in presentations to clients over Drug Trend and Clinical Programs

- Consulted with clients on Wellness Programs, Formulary, and Cost Saving Strategies

- Prepared and presented professional educational presentations on drug products from major drug companies and the disease states treated

- Participated in numerous pharmacy-related committees

- Responsible for the "Pharmacist" role producing clinical contracts on an annual basis (i.e. introduction of new drugs, rebates, drug uniqueness)

- Involved in major migration of 3 companies computer into one

- Meet 200% of annual sales and bonuses based on sales Express Scripts Apr '99 - Oct '99

Registered Internet Pharmacist - Responsible for Prior Authorization for 200 + companies

- Assisted in licensing YouPharmacy.Com by working with Missouri Board of Pharmacy and Food, Drug and Administration

- Designing and setting up user friendly website

- Experienced in Regulatory Affairs and assisted in licensing for all 50 states

- Developed common pharmacy questions and answers for web visitors

- Assisted and developed guidelines for VIPPS, internet Good Housekeeping

- Processed new and refilled prescriptions and contacted physicians if needed for processing mail order - Developed pharmacy training manuals for pharmacists and students/technicians along with training them

Walgreen's Jan '90 - Jan '99

Registered Pharmacist

- Processed new and refilled prescriptions along with contacting physicans if needed - Offered patient consultations

- Trained and mentored pharmacists, students and technicians

- Managed inventory, ordering and returning expired meds Tennessee Board of Pharmacy

Pharm D

University of Missouri Kansas City

B.S. Pharmacy

Christian Brothers University

B.S. Biology and Chemistry, minor in Accounting and Math Tennessee Board of Pharmacy

Pharm D

References :!

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References available upon request

Missouri Pharmacy License - 042686



Contact this candidate