Thao T. T. Nguyen

Experience

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  RITE AID

  Sept 2013 - Oct 2015

  Staff Pharmacist

  • Managed a team of 6 technicians to fulfill 3,000+ weekly prescriptions.• Improved patient outcomes and medication adherence with Mirixa and Outcomes MTM platform. • Improved inventory usage and met pharmacy financial and prescription metrics.

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  PharMedQuest (acquired by Avita)

  Oct 2015 - Oct 2020

  • Restructured the Sync My Meds program using data analytics to identify areas of inefficiency in two pharmacy platforms (PioneerRx and DigitalRx), resulting in improved drug adherence for each pharmacy from 1-2 to 3-4 CMS Star Ratings during the unprecedented pandemic. • Expanded the program to 20 stores in the western region, servicing over 4,000 patients with a team of 8 technicians. • Collaborated with cross-functional teams to design adherence key performance indicators (KPIs), resulting in improved adherence and decreased DIR fees. Show less • Oversaw the operations of drug utilization reviews, treatment algorithms and formularies for oncology and specialty drugs, servicing over 2M lives and attaining a 15-20% average cost avoidance for payor clients with a team of 2 pharmacists, 1 nurse practitioner, and 10 technicians. • Restructured the prior authorization process and streamlined workflow and communication to optimize teamwork and decrease turn-around-time (TAT) from 1 week to daily completion.• Collaborated with cross-functional teams, including account managers, legal, sales, finance, data analysts and operation leads to expand and manage ARC nationally to three states, while adding Radiation Oncology, External Consult, and Provider Portal services. • Improved appeals and grievances management related to prior authorizations by ensuring compliance, utilizing evidence-based determination, and implementing efficient processes resulting in 30% reduction in TAT and improved payor satisfaction, while utilizing strong communication and time management skills. • Successfully obtained ACHC accreditation in Specialty Pharmacy with Oncology Distinction and URAC accreditation in Independent Review Organization. • Implemented Smartsheet to manage 6 pharmacy strategic initiatives, including technologic enhancements, policy updates, and new program implementation for patient care and safety. • Provided executive business reports and led quality improvement committees, including Pharmacy and Therapeutics Committee, Quality Management for Performance Improvement (QMPI) and Specialty Therapy Management. Show less

  • Pharmacy Quality Manager

    Sept 2019 - Oct 2020

  • Authorization Request Coordination (ARC™) Manager

    Oct 2017 - Sept 2019

  • Authorization Request Coordination (ARC™) Clinical Pharmacist

    Oct 2015 - Oct 2017
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  Avita Pharmacy

  Oct 2020 - now

  Pharmacy Quality Manager

  • Oversee and manage the development and execution of the medication synchronization program (Sync My Meds), to improve standardize workflow and member outreach strategies, resulting in enhanced adherence for patients with HIV, diabetes, hypertension and hypercholesteremia. • Presented the synchronization method to senior leadership and obtained approval to expand nationally, to-date have onboarded 27 stores nationwide, servicing over 9,000 patients.• Developed a team of 10 technicians into medication synchronization experts, equipping them to train personnel across all levels of corporate while continuously adapting to technology changes. • Collaborate with cross-functional teams, such as data analysts, ETL developers, marketing, finance, and operation leads, to design data analyses that enhance adherence, decrease direct and indirect remuneration (DIR) and delivery fees, and to optimize the program’s budget plan for expansion• Utilize PowerBi for internal tracking and the Client Portal for covered entities and clients to analyze adherence performance metrics, such as proportion of days covered (PDC) and adherence deviation. Successfully achieving 5-star ratings for Centers for Medicare and Medicaid Services (CMS) standards and increase PDC scores per pharmacy by 5-15%. • Oversee adherence to accreditation requirements for Accreditation Commission for Health Care (ACHC) specialty pharmacy services. Show less