Clinical Prior Authorization Pharmacist resume example with 6+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA94105
:
Professional Summary
Enthusiastic and patient service-oriented Pharmacist with Doctor of Pharmacy degree and advanced certification in Pharmacist Immunization Delivery. Strong background in clinical pharmacology and patient medication therapy management. Currently licensed in Massachusetts.
Skill Highlights
Strong decision-making ability
Efficient and accurate
Skilled in clinical interventions
Strong clinical background
Drug utilization review
Hospital and retail pharmacy professional
Patient counseling expert
Inventory management
Expert understanding of Medicare and Medicaid processes.
Strong background in FDA drug safety guidelines
Exceptional patient care and interaction
HIPAA trained
Patient counseling expert
Education and Training
Massachusetts College of Pharmacy and Health SciBoston, MAExpected in 2004 ā āPharmD:Pharmacy - GPA:
Roxbury Community CollegeBoston, MAExpected in 1999 ā āAssociate of Arts:Biology concentration - GPA:
Professional Experience
St. Joseph Health - Clinical Prior Authorization Pharmacist Rohnert Park, CA, 01/2012 - 07/2012
Performed coverage determination for prescription drugs against established criteria on any prior authorization requests.
Conducted occasional clinical literature searches to support the coverage determination function for cases, as needed.
Communicated with doctors' offices via telephone, fax and email.
Participated and collaborated with the clinical pharmacist team discussions on CMS regulatory issues, company policies and other projects as needed.
CAS,People Soft,RXClaim, MedHOK system experience.
Entered new patient profiles and prescriptions into medication input software system.Verified, filled and dispensed prescriptions in accordance with the State and Federal regulations.
Communicated directly with doctors' offices via telephone, fax and email.
Followed state and federal record keeping guidelines for legend drugs and controlled substances.
Conducted drug utilization reviews, drug interventions and therapy management.
QS/1 Pharmacy software experience.
Rite Aid Pharmacy - Staff Pharmacist/ Pharmacy manager City, STATE, 06/2005 - 11/2009
Managed pharmacy inventory through proper medication ordering, returns and inter-store transfers.
Maintained proper pharmacy and general safety procedures and standards, including department cleanliness.Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls.
Supervised, trained and evaluated pharmacy technicians and interns.
Directed operations to increase efficiency and minimize patient wait times.
Followed state and federal record keeping guidelines for legend drugs and controlled substances.
Conducted drug utilization reviews, drug interventions and therapy management.
Appropriately resolved customer issues, complaints and questions.
Extended patient engagement with extra counseling and follow-up adherence calls.
Collaborated closely with healthcare professionals to monitor and assess the quality and effectiveness of drugs or drug regimens.
Advised customers on the selection of medication brands, medical equipment or healthcare supplies.
Successfully assisted customers with medical issues and provided valuable healthcare counseling.
Harvard Street Neighborhood Health Center - Staff Pharmacist City, STATE, 2007 - 02/2008
Entered new patient profiles and prescriptions into medication input software system.
Communicated directly with doctors' offices via telephone, fax and email.
Provided critical information and advice to customers regarding possible drug interactions, side effects, dosage and proper medication storage.
Consistently upheld proper pharmacy and general safety procedures and standards.
Followed state and federal record keeping guidelines for legend drugs and controlled substances.
Community Service
Volunteer as a Pharmacist, Cayesse Haiti Missionary Clinic 2013
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