Pharmacy Implementation Leader with PBM Expertise

Nayan Patel

Email: **********@*****.*** Phone: 267-***-**** LinkedIn: linkedin.com/pub/nayan-patel/77/190/a87

Professional Summary

Strategic and detail driven Pharmacy Implementation Specialist with 9+ years of experience leading complex pharmacy benefit configurations and optimizing account installations within high volume PBM environments. Proven ability to translate intricate benefit designs into accurate system setups, streamline workflows, and reduce operational risk. Recognized for cross functional leadership, problem solving expertise, and a commitment to accuracy, compliance, and continuous improvement.

Core Skills

• Pharmacy Benefit Configuration & Implementation

• Process Optimization & Risk Prevention

• Cross Functional Leadership & Collaboration

• Root Cause Analysis & Complex Issue Resolution

• Compliance Documentation & Quality Assurance

• Training, Coaching & Team Development

• Data Analysis & Reporting for Pharmacy Operations

Professional Experience

Account Installation Lead Analyst

May 2023 – Present

• Lead end to end installation of pharmacy accounts, ensuring precise system configuration and timely delivery of benefit setups.

• Interpret detailed client benefit requirements and convert them into accurate adjudication logic.

• Identify configuration gaps and inefficiencies, recommending improvements that reduce rework and risk.

• Troubleshoot urgent service issues with minimal client impact.

• Prepare and analyze pharmacy related datasets to support reporting and operational needs.

• Maintain superior documentation standards for configuration processes and quality controls.

• Mentor new Set up Representatives on best practices and implementation methodologies.

Pharmacy Implementation Set up Representative

Aug 2015 – Apr 2023

• Managed medium to high complexity implementations across diverse pharmacy products.

• Collaborated with Implementation Managers and Consultants on new and renewing business.

• Validated benefit design and client intent to prevent misconfigurations.

• Resolved complex fallout issues, including co pay variations and member data discrepancies.

• Maintained accuracy in benefit structure setup and documentation standards.

• Served as a subject matter resource for issue resolution and workflow troubleshooting.

Pharmacy Technician

Jan 2012 – Aug 2015

• Processed prescriptions accurately and ensured adherence to provider instructions.

• Verified prescriptions for completeness, compliance, and safety.

Pharmacy Technician (PRN)

Dec 2011 – Jan 2012

• Assisted with prescription entry, medication preparation, and customer inquiries.

Research Assistant – Benzodiazepine Derivatives

Jul 2005 – Jan 2008

• Conducted synthesis and laboratory testing of novel 1,5 benzodiazepine derivatives.

• Documented research outcomes contributing to ongoing pharmacological studies.

Education

MSc, Pharmacology (U.S. Master’s equivalent) – 2003, University of Hertfordshire, UK

Bachelor of Pharmacy (U.S. Bachelor’s equivalent) – 2002, Rajiv Gandhi University of Health Sciences

Thesis / Dissertation

Developed and analyzed novel 1,5 benzodiazepine derivatives, exploring synthesis methodologies and receptor level characteristics.

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