Regional Account Manager Pharmacy Services Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Accomplished Pharmacy Regional Account Manager passionate about facilitating and managing projects to completion and building uniform and efficient regulatory oversight. Adept at communicating with and motivating multiple teams to drive team collaboration.

  • Interpersonal Communication Skills
  • Leadership and Motivation
  • Adaptability
  • Critical Thinking and Problem Solving
  • Time Management
Regional Account Manager, Pharmacy Services, 01/2018 to Current
Hca Corpus Christi, TX,
  • Oversees submission of pharmacy audit materials to regulatory agencies such as the Department of Insurance, the Office of Inspector General, the National Committee for Quality Assurance, and the Health and Human Services Commission in multiple states
  • Implemented an oversight program to audit the Plan Benefit Manager (PBM) and collaborated with the corporate pharmacy team to integrate into their oversight processes to be used as the template for PBM oversight in all Molina states
  • Tracks the PBM performance guarantees, service warranties, and corrective actions plans
  • Responsible for ensuring the implementation of pharmacy regulatory changes by working with multiple teams within Molina and the PBM and tracking progress toward objective completion and ongoing oversight
  • Builds, receives, tracks, reviews, and submits pharmacy reporting, both regulatory and non-regulatory, for the region to ensure accurate and timely submissions
  • Cultivated relationships with multiple teams to support a company-wide pharmacy realignment to help meet business goals and profit margins
  • Establishes, implements, and updates policies and procedures for effective pharmacy management in alignment with regulatory requirements
Manager, Pharmacy Operations, 07/2016 to 01/2018
Catholic Health Initiative Grimes, IA,
  • Trained, managed, led, and motivated 2 Pharmacy Supervisors with a cumulative team of 20 pharmacy technicians to run the largest pharmacy prior authorization call center in the company
  • Ensured regulatory prior authorization turn-around times were consistently met to ensure regulatory agencies did not penalize the company
  • Led the Texas pharmacy department through company re-alignment to minimize levels of management
  • Worked on project to align the prior authorization review system in multiple states
  • Ensured regulatory requirement changes were implemented throughout pharmacy department procedures, trainings and policies
  • Verified that regulatory changes related to pharmacy were also integrated into external team trainings, such as member services and nurse advice lines
  • Collaborated with multi-disciplinary staff to improve overall medical necessity reviews and response times.
  • Implemented inter-rater reliability reviews to ensure consistent medical necessity prior authorization reviews.
Supervisor, Pharmacy Services, 08/2012 to 07/2016
Molina Healthcare City, STATE,
  • Directed and evaluated pharmacy staff and medication management workflows to support efficient and cost-effective use of medications through prior authorization reviews
  • Established an onboarding process for new team members and implemented new team training and ongoing training and coaching for a team of 10 pharmacy technicians
  • Helped to expand team by recruiting, hiring, and managing 5 pharmacists to oversee medical necessity reviews and meet new regulatory requirements
  • Ensured adequate staffing coverage through work schedules and timecard reviews
  • Implemented a customer service training plan for the team
  • Acted as a liaison to internal and external customers to ensure prompt resolution of identified issues
  • Developed reporting to track call times and service levels for overall management of call center team
Enlisted Soldier, 07/2001 to 07/2012
United States Army City, STATE,
  • Completed the Army's Pharmacy Specialist Course in March 2002 to become a pharmacy technician
  • Attained national certification with the Pharmacy Technician Certification Board in July 2004
  • Worked in multiple pharmacy settings over the years including inpatient pharmacy, supply pharmacy and outpatient pharmacy.
  • Deployed to Iraq during Operation Enduring Freedom from 2004-2005 and worked in the Combat Support Hospital Pharmacy during which time I won the Soldier of the Month board
  • My latest position was serving as the Non-Commissioned Officer in Charge of the Brooke Army Medical Center Outpatient Pharmacy
  • Responsible for daily pharmacy staff and operations with an average daily workload of 3,500 new prescriptions and 1,500 refills
  • Supervised 3 Solders and 5 Civilian pharmacy technicians
  • Mentored all 3 soldiers to compete in the monthly Soldier of the Month leadership board
  • Ensured all clinics and the outpatient pharmacy were in compliance with pharmacy guidelines which resulted in zero deficiencies during The Joint Commission audit
  • Served as head preceptor for over 50 AMEDD Center and School Solders during their hospital rotations
  • Instructed monthly pharmacy in-service for over 200 staff members
Education and Training
Associate of Science: General Science, Expected in 12/2012
St. Philip's College - San Antonio, TX
Associate of Arts: General Studies, Expected in 12/2012
St. Philip's College - San Antonio, TX
Bachelor of Arts: Applied Arts And Sciences, Expected in 08/2018
University of North Texas - Denton, TX

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Resume Overview

School Attended
  • St. Philip's College
  • St. Philip's College
  • University of North Texas
Job Titles Held:
  • Regional Account Manager, Pharmacy Services
  • Manager, Pharmacy Operations
  • Supervisor, Pharmacy Services
  • Enlisted Soldier
  • Associate of Science
  • Associate of Arts
  • Bachelor of Arts