Beverly Mccarty Email & Phone Number

Wilmington, OH, US

United States

Twinsburg, Ohio

Blanchester, Ohio

• Maintained document control in order to provide evidence of conformity of requirements and of the effective operation of the quality management system, including the initiation and implementation of Change Requests
• Performed internal audits to access the quality system structure against criteria defined in the quality policy, applicable regulations, and recognized international standards (ISO)
• Assisted with the facilitation and execution of customer audits
• Creation of… Show more
• Creation of Corrective and Preventative Action Plans to eliminate, and/or reduce the risk of actual or potential non-conformities
• Initiation and implementation of Document Change Requests

St. Martin, Ohio

• Counsel prospective applicants on the admissions process; including opportunities available at Chatfield College
• Provide one-on-one admissions counseling to diverse populations
• Timely planning and implementation of recruitment activities for assigned high schools and referring agencies within assigned territory
• Maintain accurate contact records and tracking data of inquiries throughout the entire admissions process
• Assist in the development and successful delivery of on-campus… Show more
• Assist in the development and successful delivery of on-campus events and programs for individual students and groups Show less

Mason, Ohio

• Worked with appropriate functional areas across the organization to obtain support for audit activities
• Provided required documentation including benefit information, pricing, DUR and all other agreed upon information to the audit coordinator and/or external third-party auditors
• Communicated audit findings and discrepancies to functional areas
• Ensured extensive research was conducted to prove claims were paid accurately

Mason, Ohio

• Served as point of contact for internal health plan audit coordinator and/or external third-party auditors
• Worked with appropriate functional areas across the organization to obtain support for audit activities
• Provided required documentation including claims extract, benefit information, pricing, DUR and all other agreed upon information to the health plan coordinator and/or external third-party auditors
• Communicated audit findings and discrepancies to functional areas
• Ensured… Show more
• Ensured extensive research was conducted to prove claims were paid accurately Show less

Mason, Ohio

• Served as primary liaison between the customer and all functional areas of APM
• Served on the implementation resource team for new business and pharmacy program conversions/implementations
• Supported sales and broker presentations
• Provided customer training for pharmacy program roll-out and clinical initiatives
• Provided both on-site and off-site client support including custom benefit management system training, researching and resolving phone and written inquiries, resolving… Show more
• Provided both on-site and off-site client support including custom benefit management system training, researching and resolving phone and written inquiries, resolving claims, benefit, and eligibility issues

Mason, Ohio

• Managed all pharmacy contract set up within the claims processing system (PHI/ProPBM)
• Negotiated contracts with independent pharmacy chains
• Analysis of claims data to validate application of appropriate reimbursement rates
• Oversight of operational processes including maintenance of the Pharmacy Contract Management System (PCMS)
• Managed GEO Access Analysis for company Request for Proposals
• Resolved escalated pharmacy inquiries from all departments

Mason, Ohio

• Conducted 20-30 pharmacy provider field audits per month
• Analysis and presentation of audit findings to Retail Network Director and Special Investigations Unit
• Managing monthly audit/travel schedule
• Analysis and decision-making authority for pharmacy rebuttals

Mason, Ohio

• Provided operational and HBS Order Entry and Dispensing system training to all pharmacy technicians
• Designed and created the Anthem Rx technician training manual
• Participated, as a core team member, in the mail order process improvement initiative which resulted in the acquisition of a new facility with technologically advanced robotic fulfillment capabilities
• Primary technician responsible for the reconciliation of paid claims data

Business Administration, Management And Operations

Activities and Societies: Beta Gamma Sigma

Business Administration And Management, General

Iso 13485:2003 Lead Auditor (Tpecs), Lead Auditor

Competencies Include: MD - Medical Device Mgmt. Systems AU - Management Systems Auditing TL - Leading Mgmt. Systems Audit Teams

Associate'S Degree, Liberal Arts And Sciences/Liberal Studies

Activities and Societies: Phi Theta Kappa

Business Administration And Management, General