Pharmacy Benefit Manager with Data-Driven Efficiency

Pharmacy Benefit Manager

Express Scripts

Oct ***3 - Present

Birmingham

Experience

Negotiated contracts with pharmaceutical manufacturers to secure favorable pricing and rebates, enhancing profitability.

Implemented strategies to promote generic drug utilization, resulting in an increase in generic prescriptions by 30%.

Coordinated with insurance providers to resolve claims disputes and ensure timely reimbursement for pharmacy services.

Analyzed trends in prescription drug claims to identify opportunities for cost savings and improved patient outcomes.

Collaborated with healthcare providers to ensure appropriate medication management and adherence to treatment protocols.

CNA Mentor

Aspire Physical Recovery

Apr 2019 - Oct 2023

Birmingham, Alabama

Facilitated training sessions for new nursing assistants to enhance their clinical skills and knowledge.

Developed comprehensive educational materials to support ongoing professional development for nursing staff.

Collaborated with healthcare team members to ensure high-quality patient care and adherence to safety protocols.

Utilized electronic health record systems to maintain accurate patient data and streamline documentation processes.

Conducted regular workshops on patient handling and communication skills to improve team efficiency.

Sales Associate

Walmart

Feb 2023 - May 2023

Hoover, AL

Engaged with customers to understand their needs and provide tailored product recommendations.

Processed sales transactions accurately and efficiently, contributing to a high level of customer satisfaction.

Collaborated with team members to achieve monthly sales targets, leading to a 15% increase in overall revenue.

Summary

Innovative Pharmacy Benefit

Manager focused on optimizing

pharmacy benefits and

achieving exceptional client

satisfaction. Led efforts to

streamline prescription

processing workflows, resulting

in a 20% increase in efficiency

and a reduction in errors. Skilled

in data analysis for formulary

management, improving cost-

effectiveness and patient

outcomes. Enthusiastic about

utilizing leadership and

administrative accuracy to

enhance service quality and

operational performance.

Analyzing medication utilization

trends for improved patient

outcomes. Possesses 1+ years of

experience in managing

pharmacy benefits, fostering

client satisfaction, and

implementing digital tracking

systems to reduce errors. Known

for strong communication,

leadership, and customer service

skills, seeking to leverage

expertise in a new role to drive

further efficiencies and client

trust.

Leadership Skills Expert

Skills

Administrative Accuracy Expert

Formulary Management Expert

Pharmacy Management Expert

Shanna Burrell

Pharmacy Benefit Manager

205-***-**** *****************@*****.*** 3881 Caylan Cove, Birmingham, US, 35215 Participated in promotional events and marketing initiatives to drive store traffic and increase brand awareness.

Contact Center Agent

Blue Cross Blue Shield

Oct 2021 - Sep 2022

Hoover, AL

Provided exceptional customer service by efficiently resolving inquiries and complaints, leading to a 15% increase in customer satisfaction ratings. Handled an average of 100 calls per day, demonstrating strong multitasking abilities and maintaining composure in high-pressure situations. Analyzed customer feedback to identify trends and recommend improvements, contributing to a 30% reduction in product-related inquiries. Maintained accurate records of customer interactions and transactions, ensuring compliance with company policies and regulatory requirements. Contact Center Agent

Alabama 811

Jul 2020 - Feb 2021

Fultondale, AL

Provided exceptional customer service by addressing inquiries and resolving issues in a timely manner.

Utilized CRM software to track customer interactions and ensure thorough follow-up on all inquiries.

Achieved a call resolution rate of over 90% through effective communication and problem-solving skills.

Trained new agents on company policies, procedures, and effective communication techniques to enhance overall team performance. Handled high call volumes efficiently while maintaining a positive and professional demeanor.

Utilized call center software to monitor performance metrics and identify opportunities for personal development.

Utilized call center software to monitor performance metrics and identify opportunities for personal development.

Front Desk Agent

Sonesta Es Suites

Apr 2016 - Apr 2019

Birmingham, AL

Greeted and checked in guests, ensuring a seamless arrival experience and maintaining high customer satisfaction.

Managed reservations and room assignments using property management software to optimize occupancy rates.

Responded promptly to guest inquiries and concerns, providing exceptional service and resolving issues efficiently.

Collaborated with housekeeping and maintenance teams to ensure timely room readiness and address any guest requests.

Processed payments and maintained accurate financial records, contributing to a balanced cash drawer.

Assisted in training new front desk staff, fostering a team-oriented environment and promoting best practices.

Utilization Review Expert

Active Listening Proficient

Multitasking Expert

Conflict Resolution Expert

Medical Record Keeping Expert

Patient Care Expert

Relationship Management Expert

Data Analysis Expert

Problem-solving Expert

Medication Utilization Expert

Digital Tracking Systems Expert

Critical Thinking Expert

Time Management Expert

Attention to Detail Expert

Adaptability Expert

Problem Solving Expert

Workflow Optimization Expert

Communication Skills Expert

Data Accuracy Expert

Workflow Optimization Expert

Client Relationship

Management

Expert

Healthcare Coordination Expert

Claims Management Expert

Prescription Processing Expert

Pharmacy Benefits

Management

Expert

Customer Service Expert

Leadership Expert

Communication Expert

Conducted daily audits of guest accounts and resolved discrepancies to maintain financial integrity.

Coordinated with security personnel to ensure the safety and security of guests and hotel property.

High School Diploma

Woodlawn Magnet High School

2005 - 2009 Birmingham, US

Education

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