Caroline Chavez Email & Phone Number

Providing Elder Care, informal Medication Therapy Management (MTM), Healthcare Transports, Patient Advocacy, and Property Management

Glen Allen, Va, Us

Provided medical information support to health care professionals and patients in response to vaccine product inquiries during Emergency Use Authorization, including documentation of medical inquiries, adverse events, product quality complaints, and standard responses.

Brentford, Middlesex, Gb

Within a fast paced pharmaceutical manufacturer call center, handled as Product Specialist incoming calls from healthcare professionals and consumers, providing in-depth appropriate product information and/or corporate knowledge to customers. With urgency and flexibility, determined root cause of issues and effectively resolved inquiries helping to build and strengthen customer relationships. Conducted extensive inquiry analysis including Adverse Event and Product Quality Complaint reporting with utilization of knowledge management systems and quick content navigation.

Woonsocket, Ri, Us

Famous for Service in a fast paced call center environment, utilizing excellent communication skills to help drive positive health outcomes and provide personalized consultative pharmacist support via direct clinical interview to members with chronic disease states, with focus on new therapy education, patient partnering with noncompliance solutioning, and supplemental therapy evaluation. Working collaboratively with prescribers, other Pharmacy Advisor staff, and other cross-functional departments to address patient issues.

Acted as an outward-facing, dedicated clinical resource for assigned accounts, typically having direct client contact; successfully built relationships with clients and teaming partners, serving as their primary point of contact for clinical program support; coordinated with other Clinical Pharmacists, Program Managers, Account Executives, and Account Managers to enhance and support their understanding of related Pharmacy Benefit Management (PBM) programs; assisted in the maintenance of appropriate clinical, evidence-based documentation supporting programs; acted as a primary resource regarding clinical pharmacy questions to help ensure the provision of clinical support for plan programs; analyzed through reporting tools pharmacy claims data for utilization trends, including identification of cost drivers and recommendations for cost savings; served as pharmacy subject matter expert to RFP process; assisted in the development and implementation of quality assurance activities to ensure regulatory and program compliance

Birmingham, Al, Us

Provided medical science consultation in the area of comprehensive lipid and cardiovascular risk marker assays, supporting a clinical laboratory sales force and executing related external client presentations to physicians and staff

Performed member outreach to members and their physicians for discussion of open therapy management issues related to medication safety, effectiveness, and best use of benefit. Evaluated prescription orders to identify and resolve therapy management issues for members with chronic conditions. Performed prospective and retrospective DUR on mail order prescriptions and counseling to members on medications, reactions, and clarifications, including medication reconciliation and gap in therapy discussions.

Woonsocket, Ri, Us

Initiated phone calls to physician offices to discuss clinically appropriate medication regimens. Reviewed mail order prescriptions for clinical appropriateness and cost-savings opportunities. Performed prescription verification and prospective DUR, including participant profile review, drug use history, allergy evaluation, and drug-drug and drug-food interaction considerations.

Hartford, Connecticut, Us

Managed a Precertification pharmacist unit providing clinical support to a call center for both Commercial and Medicare business. Partnered with Human Resources to handle new employee hire and on-boarding activities. Handled supervisor calls and responded to clinical criteria questions in queue during seasonal volume peaks. Performed routine coaching and ongoing staff performance reviews. Worked closely with Precertification operations staff with process, work flow, system needs and related training development. Served as the subject matter expert on project pipelines. Participated in UAT, project implementation, and related training development and delivery. Assisted with maintenance of Precertification letter database on ongoing basis, working with Compliance and Legal units. Assisted with coordination of documentation and requested files for NCQA reviews. Assisted with clinical aspects of grievances and appeals, including the Medicare Part-D benefit. Created an intradepartmental pharmacist auditing tool.

Hartford, Connecticut, Us

Provided clinical support to the Precertification department in call center environment. Served as the subject matter expert for clinical pharmacy issues surrounding Medicare criteria including processing diffusion forms, handling impromptu physician calls as well as general DI questions from physicians, Precertification unit nurses and pharmacy technicians. Worked with Pharmacy Clinical Medicare team and Pharmacy Clinical DI team to research issues outside of criteria. Evaluated denial decisions for accuracy relative to clinical criteria. Assisted in internal Quality Control measures via auditing daily denials, participating in monthly Review Audit process, providing daily technician feedback related to application of criteria and proper documentation. Helped develop and implement related clinical training sessions for pharmacy technicians.

Woonsocket, Ri, Us

Delivered training curriculum for front- and back-end operations employees and provided follow-up feedback to the management team. Partnered with the Business Process and Curriculum Development teams to review training materials. Performed business process mapping and needs analysis. Provided curriculum inputs related to Medicare Part B and D pharmacy requirements. Managed training project from material development to train-the-trainer events to deployment scheduling and delivery for a pharmacy computer system upgrade implementation. Consulted with subject matter experts across functional areas.

Woonsocket, Ri, Us

Provided clinical counseling in response to incoming participant and prescriber questions in call center environment. Provided clinically relevant information pertaining to the translating, dispensing, and shipping of prescription medications. Contacted physicians, pharmaceutical manufacturers, and participants to resolve patient and prescription questions, including counseling related to any incorrectly dispensed medication with initiation of error correction process and error reporting to the prescriber and the Quality department; participated in Adverse Drug Reaction (ADR) monitoring and pre-reporting and Product Complaint reporting to the Quality department.

Managed the outpatient Anticoagulation Clinic, as part of the General Medicine Clinic, for the University Health System and UTHSC including supervision of a registered nurse and clerk. Assisted physicians in revisions of current clinic policy and procedure as related to standing medical orders and dosing algorithms as well as patient evaluation in relation to current clinical disease state management guidelines. Critically analyzed patients’ existing therapeutic plans to determine the most appropriate individualized anticoagulation therapy. Conducted patient interviews and physical assessments in the clinic. Provided patient education regarding anticoagulation therapy. Maintained a computer database for assessing quality assurance standards.

Woonsocket, Rhode Island, Us

In a retail pharmacy averaging 2500 prescriptions per week with drive-through window services:Managed pharmacy technicians including supervising all drug preparation, labeling, and distributionsRoutinely performed daily Drug Utilization Review (DUR) of prescriptions

Assisted pharmacy manager in the hiring of new techniciansRepresented pharmacy department in store meetings, reporting weekly pharmacy sales and performanceManaged pharmacy technicians including supervising all drug preparation, labeling, and distributionRoutinely performed daily Drug Utilization Review (DUR) of prescriptions

Supporting Immunochemistry Department:Immunizations: monoclonal antibody development in miceFusions: combining spleenocytes to myeloma cell lines to create hybridomasTissue culture: testing clones and parent cell lines under sterile conditionsAnalysis: cytometry, ELISA, ion exchange column chromatography and dialysis, sonic bathSupporting Environmental Chemistry Department:Development of new membrane assay for environmental toxinsOptimized dose response parameters in new PCB assayExecuted proper disposal of toxic material

Doctor Of Pharmacy, Pharmacy

Spanish Language Studies

Bachelor Of Science, Biology

High School Diploma