Clinical Pharmacy Part D
Resume:
Shenita A. Outland, Pharm.D..
Houston, TX *****
***********@*****.***
PERSONAL SUMMARY
Over eighteen years of pharmacy experience has provided me with an extensive knowledge in ambulatory care, community, and managed care pharmacy practice settings. I desire to leverage my 10+ years of formulary management experience along with my 18 years of clinical pharmacy practice to promote positive clinical and economic outcomes. Over the course of my career, I’ve demonstrated effective clinical, communication and presentation skills (written and verbal), human relation and computer literacy skills. EDUCATION
2006 – 2007 Post-Graduate 1st Year (PGY-1) Ambulatory Care Residency Program Kelsey-Seybold Clinic
Houston, TX
2002 – 2006 Doctorate of Pharmacy
Xavier University of Louisiana College of Pharmacy New Orleans, LA
PROFESSIONAL EXPERIENCE
10/2024 – present CVS/Caremark
Clinical Pharmacy Advisor, GSO Services
• Supported Medicare Part D members & providers via the management of complex prior authorization cases
11/2012 – 9/2024 Cigna Healthcare
Clinical Pharmacy Advisor, Part D Formulary Services
Identified & analyzed CMS-related compliance issues affecting Part D beneficiaries leading to improved Part D processes
Executed all Part D formulary requirements according to Centers for Medicare and Medicaid (CMS) guidelines and standards
o Ensured timely, accurate and successful monthly and annual formulary submissions to CMS – 100% success rate
o Actively participated in creating and testing pre-1/1 mock scenarios and reviewing post-1/1 go-live claims leading to the lowest # of go-live issues in Jan. 2024
Maintained, reviewed and submitted all formulary-related policies and procedures per CMS guidelines
Actively served as a clinical resource and presented formulary-related information during annual class reviews and other clinical subcommittee meetings
Built positive interdisciplinary relationships by providing relevant clinical information, current formulary data and excellent customer service Previous Responsibilities
Lead pharmacy preparer of departmental NCQA audit
Precepted and mentored both students and residents in the area of formulary management and managed care
S. Outland
Page 2 of 2
Served as local AMCP Diplomat for both Texas Southern University and University of Houston Colleges of Pharmacy
11/2007 – 7/2022 Wal-mart Pharmacy
Relief Pharmacist (2008-2022) / Asst. Pharmacy Manager (2007-2008)
• Helped to improve the medication-use process through proper dispensing and counseling of medications
• Managed pharmacy licensing procedures, policy implementation, drug inventory, and pharmacy wellness events
• Assisted in increasing prescription volume, OTC sales and immunization rates Previous Responsibilities
Regional training of software updates and new hire RPhs & technicians 3/2008 – 8/2012 Kelsey-Seybold Clinic/KelseyCare Advantage Clinical Pharmacy Manager – Health Plan Pharmacy Services; Managed Care Residency Coordinator
• Developed, implemented and managed various clinical programs for KelseyCare Advantage and Kelsey-Seybold Clinic (i.e. the Medication Therapy Management (MTM) Program and the RxAdherence Program) that led to improved clinical outcomes, 100% CMS-related MTM compliance and 92% adherence rates for KelseyCare Advantage members
• Development and oversight of the Kelsey-Seybold Clinic Managed Care PGY1 Residency Program; successfully graduated 5 residents and led 1 reaccreditation cycle
• Completed monthly Fraud, Waste and Abuse (FWA), Worker’s Compensation and End-Stage Renal Disease audits resulting in a decrease of reported FWA cases
• Developed, evaluated, reported and otherwise participated in continuous Quality Improvement, Drug Utilization Evaluation, Adverse Drug Reaction reporting, Medication Use, and other projects as assigned LICENSURES & CERTIFICATIONS
2006 - Present Registered Pharmacist - Texas State Board of Pharmacy Licensure – License No. 44889
October 2021 Regulatory Affairs Training Program – Duke School of Medicine January 2021 Fundamentals of Managed Care Pharmacy Certification Program – 2nd edition June 2018 Cardiopulmonary Resuscitation Certification for Healthcare Professionals (BLS)
(Renewed Bi-annually)
July 2016 APhA Immunization Certification
May 2011 Teaching and Scholarship in Academia Certification – University of Houston June 2010 Texas State Board of Pharmacy Preceptor Certification (Renewed Bi-annually) PROFESSIONAL ASSOCIATIONS AND LEADERSHIP
2021 – present The Junior League of Houston
2007 - present Academy of Managed Care Pharmacy (AMCP) 2007 - 2012 Texas Pharmacy Association (TPA)
Contact this candidate