LiveCareer-Resume

pharmacy clinical administration training and management support resume example with 9+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary
I believe with my previous experience and capabilities I would make an ideal candidate for the position.  I would like an opportunity to expand and grown within the United Healthcare organization and I believe with this position I can.
Highlights
  • Proficient in customer account programs
  • Ability to multi-task and maintain efficient work
  • Training contributor for new and current employees
  • Troubleshooting skills
  • Strong problem solving ability
 
 
  • Customer service management experience
  • Innovation shown to improve daily procedures
  •  Dependable worker
  • Fast learner
  • Current management responsibilities and access
Accomplishments

Training and Development

  • Assisted in creating a new training program for new hires and implementing the training with veteran employees as well. 
  • Created job aids that have been used within the department for employees.
  • Implements testing to ensure new and veteran employees have an understanding of department procedures.
  • Introduced new learning methods to guarantee a complete understanding of material for all employees.

Quality & Assurance

  • Received access to review employee calls for quality and to ensure they are meeting department goals.
  • Assist in coaching employees in areas that show an opportunity for growth.
  • Answer questions and assist in de-escalating calls from members.
  • Access to management systems for reporting and have exceeded beyond my peers.
Education
In Progress: Psychology, Expected in
Community College of Allegheny County - Monroeville, PA
GPA:
High School Diploma: General Studies, Expected in 2006
Gateway - Monroeville, PA
GPA:
Experience
Pharmacy Clinical Administration, Training and Management Support, 08/2015 to Current
Res-Care, Inc.Mebane, NC, United States
  • Speak to members about their pharmacy benefits including but not limited to: covered medications, prior authorization requests and process, copays and in network pharmacies.
  • Cross trained for another department to build and decision prior authorization cases.
  • Experience with Precepting, mentoring or training
  • Supervisor: Maria Fava (XXX-501-0730).
Medical Support Assistant Lead, 04/2014 to 07/2015
Tata Consultancy ServicesAtlanta, GA, United States
  • Scheduled appointments.
  • Facilitated communication between physicians and patients.
  • Preceptor to new employees.
  • Delegated work responsibilities to Primary Care MSA's.
  • Handled clinical requests by providers in accordance with the Service Line policy.
  • Made reasonable procedure exceptions to accommodate unusual patient requests.
  • Supervisor: Jay Calfee (XXX-822-2230.
Rep II Clinical Med D Tech, 2014 to 04/2014
ChubbNashville, TN, United States
  • Reviewed patient eligibility and medications for pre-authorization of coverage.
  • Contacted medical facilities to obtain clinical information of eligibility.
  • Manually entered overrides for coverage.
  • Chosen to be trained in three additional queues needed to help production.
  • Data entry, faxing, emails and outbound calling when necessary to obtain information.
  • Made suggestions to increase workflow and my ideas implemented on a daily basis.
  • Supervisor: Lindsay Franks (1-800-814-6600 75805).
Senior Data Entry Rep, 09/2012 to 2014
AmeriSource Bergen LashgroupCity, STATE,
  • Entered patient and physician information into system to complete a benefit investigation into the patients insurance.
  • Called the physician's office when additional information is needed.
  • Daily scanning, faxing, email and telephone communication with the doctors' offices.
  • Supervisor: Jamie Kontaxes (XXX-229-3005).
Clinical Coordinator, 04/2012 to 09/2012
CVS Caremark Specialty PharmacyCity, STATE,
  • Assisted patients with medication management.
  • Called patients to enroll them in the program to have a one-on-one consultation with a pharmacists over the phone.
  • Entered information into the system for the pharmacists to review.
  • Managed the pharmacists calendar by scheduling patients enrolled in the program.
  • Handled follow up calls for patients and verified their insurance was current to allow them to participate in the program.
  • Trained staff on how to improve customer interactions.
  • Supervisor: Maureen Castner (1-800-238-7828).
Customer Care Rep, 09/2011 to 04/2012
CVS Caremark Mail Order PharmacyCity, STATE, United States
  • Answered incoming calls from patients to verify coverage.
  • Contacted physician's offices to verify prescription information.
  • Discussed insurance plan designs, benefit options, prescription coverage and assisted in prescription refills.
  • Processed "test claims" and overrides to assist patients in prescription pricing and early refills.
  • Assisted in website troubleshooting for patients needing assistance online.
  • Supervisor: Stacey (1-800-552-8159).
Legal Secretary, 05/2011 to 09/2011
PA Liquor Control BoardCity, STATE, United States
  • Answered phones and directed calls.
  • Completed document preparation and typed correspondence for the Judge.
  • Used a Dictaphone to prepare cases and orders.
  • Prepared hearings and assisted in office duties including faxes, emails, answering phone and sorting mail.
  • Supervisor: Roderick Frisk (XXX-920-2008).
Skills
  • Proficient in MS Word, PowerPoint, Excel, Outlook, Lyncs.
  • Provide classroom and web based training
  • Ability to exercise great communication skills with coworkers and customers.
  • Multi-tasking
  • Team building to allow for a comfortable and open working environment.
  • Organizational skills and ability to prioritize
  • Proficient in analyzing data and problem solving

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Resume Overview

School Attended

  • Community College of Allegheny County
  • Gateway

Job Titles Held:

  • Pharmacy Clinical Administration, Training and Management Support
  • Medical Support Assistant Lead
  • Rep II Clinical Med D Tech
  • Senior Data Entry Rep
  • Clinical Coordinator
  • Customer Care Rep
  • Legal Secretary

Degrees

  • In Progress
  • High School Diploma

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