Clinical Pharmacist Resume Example
Dedicated Pharmacist with 5 years of experience in pharmacy benefit management and PA appeals. Advanced communicator with all levels of staff, clients, management and healthcare administrators, and focused on building excellent communication with patients providing the education on medication therapies. Extensive experience in clinical pharmacy management therapies and services with leadership ability. Excellent reputation for resolving problems, improving patient clinical outcome, and driving overall operational improvements/efficiencies. Seeking the position in Clinical Pharmacist opportunities to provide comprehensive expertise in quality improvement initiatives around drug utilization management, medication adherence, and prescribing efficiency.
- Performs comprehensive medication assessments of medication therapy and making clinical decisions for appropriateness of therapy for various specialty drug management disease states including oncology, infertility, autoimmune diseases etc.
- Comparing prescription details against safety guidelines, review possible drug interactions, potential side effects and optimal methods of administration
- Maintains advanced knowledge of pharmaceutics, pharmacokinetics, pharmacodynamics, and pharmacotherapeutics in the area of practice.
- Pharmacy benefit management experience in multiple lines of business (commercial, Exchange, MEDICARE/MEDICAID Clients)
- Coordinates timely communication of case decision with multidisciplinary team (physician, healthcare professionals, colleagues) – provide updates on medication information/literature review/case studies
- Documentation of required clinical/ medical data that support case decision as required
- Process /deliver final decisions to various entities (clinical management, clinical operations, clinical developments team, etc)
- Documentation and validation of client-specific processes including communication procedures plan demographics, criteria selection, denial management procedures, and reporting requirements
- Achieved Daily productivity goals and other performance metrics
- Oversee prior authorization processes, clinical overview of treatment guidelines, and corresponds to all questions/concerns from colleagues, technicians, providers, and members via IM and emails
· Provide medication monitoring educations for clinically indicated patients for comprehensive medication or disease state management or medication safety concerns
· Educated patients on possible drug interactions, potential side effects and optimal methods of administration
· Delivered training on device use and storage to enhance support for different groups of patients
· Provides continuous pharmacy related expertise services to interdisciplinary teams - medication education/safety monitoring/literature reviews
· Interpreted treatment therapies for patients based on therapeutic appropriateness of a patient's drug regimen and duplication of drug regiments
· Analyzed trends in medication use and made recommendations for policy updates
· Recommends formulary alternatives and completes non-formulary consults as assigned.
· Trained pharmacy residents and interns on medication management therapies and counseling
- Established and administered annual budget with effective controls to prevent overages, minimize burn rate and support sustainability objectives
- Maintained store equipment, including computers, printers and fax machines
- Developed and implemented productivity initiatives, in addition to coordinating itinerary and scheduling appointments
- Applied performance data to evaluate and improve operations, target current business conditions and forecast needs
- Communicated best practices among on-site and external personnel to align efforts and goals
- Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
- Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects and specified use.
- Medication Therapy Management Certification
- American Heart Associated Basic Life Support (CPR & AED), July 2020
- BLS/ACLS Certification
- Anticoagulation Therapy Management Certification
- Medicare and Medicaid process
- Quality review processes
- Customer service, education, and counseling
- Expert in Microsoft Office products
- PBM/Drug Utilization Management experience
- Excellent communicator/team player
- Drug utilization review
- Drug Formulation and Compounding
- Pharmacy operational platform expertise: CAS, Peoplesafe, RxClaim, Meditech, Omnicell, All Script, Cerner, EPIC
- Pharmacy Benefit Managed Care and Patient care optimization
- Advanced experience in operational and programing of pharmacy software and automation systems
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Resume Overview
School Attended
- Roosevelt University, College of Pharmacy
- University of Houston
Job Titles Held:
- Clinical Pharmacist
- Staff Pharmacist
- Operations Manager
- Pharmacy Technician
Degrees
- Pharmacy Doctorate , Pharmacy
Bachelor of Science , Biochemistry
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