senior medicare regulatory coordinator resume example with 15+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary
Diligent Regulatory Administrator with over 10 years of supporting compliance management experience. Works well with consulting cross-functional teams on minimizing regulatory risk. Goes above and beyond to manage priorities and problem-solve with quick turn-around expectation.
Skills
Employee Development
Operational planning
Audit management
Cultural Awareness
Attention to Detail
Training and Development
Dependable and Responsible
Good Telephone Etiquette
Education
Wilmington UniversityNew Castle, DEExpected in 12/2022 ā āMaster of Science:Health Care Administration - GPA:
Wilmington UniversityNew Castle, DEExpected in 05/2022 ā āMaster of Science:Organizational Leadership - GPA:
Temple UniversityPhiladelphia, PAExpected in 05/2013 ā āBachelor of Arts:Natural Sciences - GPA:
Certifications
Certified Pharmacy Technician, Pharmacy Technician Certification Board - Active
Diversity, Equity and Inclusion Certified, University of Southern Florida- November 2021-present
Six Sigma Champion, Management & Strategy Institute- Active
Lean Culture Certified, Management & Strategy Institute- Active
Website, Portfolio, Profiles
https://www.linkedin.com/in/JessicalClaire1/
Honors & Awards
Sigma Beta Delta Honor Society- Active
Work History
Boston Medical Center - Senior Medicare Regulatory Coordinator Boston, MA, 03/2015 - Current
Analyzed field studies and reports, compiled information and submitted concise and informative summaries.
Worked with internal team members to accomplish regulatory goals and achieve full compliance with all products.
Directed documentation efforts to comply with domestic and international regulations and standards.
Trained staff in regulatory policies or procedures.
Managed fees and applications, tracked product progress and handled all responses to regulatory inquiries.
Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
Demonstrated respect, friendliness and willingness to help wherever needed.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Identified issues, analyzed information and provided solutions to problems
Cvs Health - Pharmacy Inventory Specialist Arcadia, CA, 10/2012 - 02/2018
Calculated correct order totals, updated accounts and maintained detailed records for inventory management.
Supervised and trained new staff in performing census.
Greeted store customers and discussed needs.
Kept aisles clear and clean while restocking to prevent accidents and enable others to easily pass by.
Assessed quality control levels on selected addresses and determined acceptability of samples.
Identified and tracked slow-moving inventory, recommended promotions and determined optimal replacements.
Created and enforced detailed organization processes to increase quality and service standards.
Kept warehouse areas free of debris and safe for employees with proper storage and maintenance of machinery, tools and supplies.
Stocked designated items on shelves, end caps and displays.
Oversaw warehouse staff and maintained efficiency in fast-paced environment.
Supervised inventory cycle counting processes, accounting and surplus records, product damages and product returns.
Disposed of damaged or defective items or coordinated returns to vendors for covered items.
Wellstar Health System - Prior Authorization Pharmacy Technician Morrow, GA, 04/2014 - 03/2015
Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects and specified use.
Resolved non-routine issues like third-party billing, computer system and customer service issues.
Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
Recruited, trained and guided new pharmacy technicians, improving overall performance 100%
Rite Aid Pharmacy - Lead Certified Pharmacy Technician City, STATE, 08/2006 - 01/2014
Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
Stocked, labeled and inventoried medication to keep accurate records.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Supervised 10 pharmacy technicians and coordinated day-to-day assignments.
Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
Managed opening and closing duties for pharmacy.
Resolved third-party billing, computer system and customer service issues.
Managed scheduling for 10 pharmacy technicians
Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales
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