Experience

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  Cvs health

  Jun 2014 - Jun 2017

  Certified pharmacy technician

  Contributing member of pharmacy team, working 20 hours per week to fill over 2,000 prescriptions.Responsible for correct data and insurance entry, handling insurance discrepancies and rejections, accurately quantifying patients’ prescriptions, and abiding by all HIPPA regulations.Communicate effectively with customers to ensure a positive pharmaceutical experience.

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  Wake forest baptist health

  Jun 2017 - Aug 2017

  Intern

  Work with BestHealth community outreach program.Plan and implement wellness challenges throughout the community.Attend and promote BestHealth program within the community at various events.

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  Magellan health

  Dec 2017 - Sept 2021

  Analyzes new business requirements for benefit designs and changes in order to establish the appropriate solution for our internal and external stakeholders. Responsible for configuration and implementation of new business, and continuing to monitor and configure client benefit changes post-implementation. Provides support to internal partners responsible for developing, monitoring, improving operational controls related to formulary and benefit coding. Oversee and review configuration and testing of multiple clients across multiple systems. Show less Responsible for accurate implementation and coding of pharmacy plan benefits changes, and new plan benefit designs into the appropriate adjudication system.​Gather and analyze client requirements, assesses the benefit impact on current design and claims processing, presents to the stakeholder and/or other internal partners with benefit setup options, and advises on the best solution.​Assist in audit process through unit testing of benefit coding, peer testing, and timely resolution of all research/issues presented by the QA team.​Troubleshoot inquiries from both internal and external partners, and provides solutions to meet client intent and needs.​Partners with various teams to understand customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.​Assist in the development of process improvements by providing input on system changes and/or enhancements. Show less

  • Pharmacy Benefit Plan Administrator II

    Mar 2020 - Sept 2021

  • Pharmacy Benefit Plan Administrator I

    Apr 2019 - Mar 2020

  • Clinical Pharmacy Technician I

    Dec 2017 - Apr 2019
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  Carelonrx

  Sept 2021 - Jan 2024

  Identifies potential issues, project charge, and scope.Leads efforts to identify best practices.Identifies potential issues, impacted parties, business partners, and resources required.Develops and designs processes and systems that support Alliance market needs.Designs methods for integrating function and process.Conducts cost/benefit analyses.Builds support for business change throughout the Alliance market.Support and/or facilitate all Alliance meetings with enterprise teams to ensure updates are effectively and efficiently exchangedBe a consultant to the Alliance Account Management team in setting up and executing local cost of care initiatives.Support the set up and hiring and training of new associates. Show less Designs and builds new complex non-standard benefit plans, reviews and analyze benefit summaries; and identifies best approach to code/develop benefits to achieve optimum adjudication levels.Maintains avoidance to negative financial, regulatory, and operational impact.Performs testing and quality assurance of new product developed.Research and analysis of RFP proposals, and product projects.Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality.Researches and responds to complex inquiries from various departments.May consult with and mentoring of less experienced team members.Serves as trainer for standard and highly customized benefit configuration.Represents department in production related meetings including product development, design and implementation. Show less

  • Business Change Manager

    Mar 2023 - Jan 2024

  • Benefits Analyst III

    Sept 2021 - Mar 2023
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  Prime therapeutics

  Jan 2024 - now

  Manager, benefit plan configuration

  Responsible for managing, coaching, and developing the Benefits Plan Administration team for a Medicaid client to ensure benefit plans are programmed appropriately and consistently. Creates project plans and analysis to ensure project deadlines are met.Provides and organizes training for new and less experienced benefit analysts. Interfaces directly with the Medicaid client.