SEARCH

Pharmacy Clinical Administration, Training and Management Support Resume Example

Resume Score: 90%

Love this resume?Build Your Own Now
PHARMACY CLINICAL ADMINISTRATION, TRAINING AND MANAGEMENT SUPPORT
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: PsychologyCommunity College of Allegheny County － Monroeville, PA, United States
2006
High School Diploma: General StudiesGateway － Monroeville, PA, United States
Experience
09/2015 to Current
Pharmacy Clinical Administration, Training and Management SupportUnited Healthcare － Pittsburgh, Pa
  • 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 (412-501-0730).
05/2014 to 08/2015
Medical Support Assistant LeadDepartment of Veterans Affairs － Aspinwall, PA
  • 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 (412-822-2230.
01/2014 to 05/2014
Rep II Clinical Med D TechCVS Caremark － Blawnox, PA
  • 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).
10/2012 to 01/2014
Senior Data Entry RepAmeriSource Bergen Lashgroup － Monroeville, PA
  • 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 (412-229-3005).
05/2012 to 10/2012
Clinical CoordinatorCVS Caremark Specialty Pharmacy － Monroeville, PA
  • 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).
10/2011 to 05/2012
Customer Care RepCVS Caremark Mail Order Pharmacy － Monroeville, PA
  • 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).
06/2011 to 10/2011
Legal SecretaryPA Liquor Control Board － Pittsburgh, PA
  • 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 (412-920-2008).
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
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • United Healthcare
  • Department of Veterans Affairs
  • CVS Caremark
  • AmeriSource Bergen Lashgroup
  • CVS Caremark Specialty Pharmacy
  • CVS Caremark Mail Order Pharmacy
  • PA Liquor Control Board

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 : Psychology
    High School Diploma : General Studies

Similar Resumes

View All
Management-in-Training-resume-sample

Management in Training

Captain Joe's Seafood

Jesup, Georgia