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Data Insurance

Location:
Cliffside Park, NJ, 07010
Salary:
120k
Posted:
March 13, 2012

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Resume:

ELISAR SAADE

QUALIFICATIONS

• Over ** Years of Pharmaceutical Experience.

• Over 7 Years of Pharmaceutical Data Analysis.

• Nationally Certified Pharmacy Technician since 2001

• Strong research and analysis skills

• Strong interpersonal and communication skills

• Strong knowledge of HIPPA regulations

• Excellent knowledge of IMS Database

EDUCATION

NEW JERSEY CITY UNIVERSITY, JERSEY CITY, NJ

M.A. Mathematics (2009)

B.A. Mathematics (2002)/ Minor Chemistry

BERGEN COMMUNITY COLLEGE, PARAMUS, NJ

Biology (16 Credits- 2006)

PROFESSIONAL EXPERIENCE

1/08- Present MEDIMEDIA HEALTH, CARLSTADT, NJ

RxSavings Data Analyst

• Research and resolve data exceptions in a timely and accurate manner, while realizing the impact of the resolution on all stakeholders.

• Work with pharmacy claims data to generate reports, executive summaries and set-up client projects.

• Select, collect, analyze, interpret, and present pharmaceutical data in graphs, charts, and/or tables.

• Assist in developing training and audit materials and providing training sessions to internal staff.

• Review pharmacy claim data and exception reports for fraud and abuse monitoring

• Serve as primary support liaison between Client and Medimedia for data investigations.

• Ensure data management, integrity, analysis, verification, and investigation resolution as per Client Service Level Agreement.

• Create and execute clear, efficient and time saving instructions for weekly and monthly data reports.

• Provide accurate market research analysis and process any changes.

• Position client inputs for new reports via Cognos, Tidivr, Select-RX, and Insight.

• Research extensively FDA approved prescription drugs and First Data Bank to update NDCs.

• Support team in responding to any product questions that may arise. Clients include Sanofi Aventis, Pfizer, GSK, BMS, Janssen, Takeda, OMJ, Esai, Abbot…

9/04- 12/07 IMS HEALTH, TOTOWA, NJ

Client Service Data Analyst / Pharmaceutical Product Specialist

• Research and resolve data exceptions in a timely and accurate manner, while realizing the impact of the resolution on all stakeholders.

• Serve as primary support liaison between Client and IMS for data investigations.

• Ensure data management, integrity, analysis, verification, and investigation resolution as per Client Service Level Agreement.

• Implement and update file codes/Product maintenance.

• Create and execute clear, efficient and time saving instructions for weekly and monthly data reports.

• Provide accurate market research analysis and process any changes

• Position client inputs for new reports via MSO, VPN and successfully verify new product notices, DRM45, missing products, and file code compare.

• Research extensively FDA approved prescription drugs, and update NDC and DEA numbers via NDC cross-reference and MI tool.

• Support team in responding to any product questions that may arise. Clients include Sanofi Aventis, Abbot, and Amgen.

9/98- 9/04 CVS PHARMACY, LEONIA, NJ

Certified Lead Pharmacy Technician

• Assist Pharmacist with filling and dispensing of prescription medications in accordance with quality and regulatory standards of performance for high volume pharmacy.

• Assist with business functions consisting of physician phone calls, processing insurance claims, rebates, vouchers, inventory management, third party billing, work directly with auditors during investigations, completing and faxing Medicare part D, workman’s compensation claims, and faxed prescription orders.

• Communicate effectively with patients regarding clarifications for prescription daily dosage, insurance billing process and available resources for co-pay assistance.

• Assist with inventory control, audit verifications and insurance reimbursement resolution.

• Perform support functions that include pharmacy claims, data entry using RX2000 system.

• Communicate with physicians regarding accuracy and clarifications of Prescriptions

• Maintain invoice and inventory information regarding billing, insurance reimbursement, workers’ compensation and Medicare.

• Review prescription orders with customers to ensure they have an accurate understanding of how medication is to be used.

• Train employees and pharmacy technicians in proper technique for storing, administering medications and supplies.

• Facilitate communication between doctors, patients and insurance companies.

• Maintain confidentiality by abiding by strict HIPPA standards.

9/00- 6/01 JERSEY CITY BOARD OF EDUCATION, JERSEY CITY, NJ

Substitute Teacher

Create daily lesson plans, administer aptitude tests to students, supervise students and initiate disciplinary actions, record test results and maintain a daily calendar, and attend school meetings.

TECHNICAL SKILLS

Microsoft office: word, excel, power point, and outlook.

Computer and database programming: RX 2000, IMS Database, NDC Cross Reference (WAC Pricing), ARC, MSO, CDS, Cognos, Tidivr, FDB, Select-RX, and Insight.

Mainframe: TSO, DTSO, IDMSDCP, IDMSDCQ.

ACCREDITATIONS/CERTIFICATIONS

National Pharmacy Technician Certification: PTCB 2001- present

IMS Database Certification 12/2004

NJ Certificate of Eligibility: Math Education K-12 09/04

References and Transcripts furnished upon request

380-382 Anderson Ave #1B

Cliffside Park, NJ 07010

201-***-****

******@****.***



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