As I step into the role of Director at Optum Infusion Pharmacy, I am poised to leverage my expertise to enhance growth and profitability through strategic contract management. My focus will be on the seamless implementation and meticulous performance management of our payer contracts, setting the stage for future success.Key Aspirations:• Catalyzing Top-Line Growth: I am committed to driving initiatives that will expand our market reach and elevate revenue.• Amplifying Gross… Show more As I step into the role of Director at Optum Infusion Pharmacy, I am poised to leverage my expertise to enhance growth and profitability through strategic contract management. My focus will be on the seamless implementation and meticulous performance management of our payer contracts, setting the stage for future success.Key Aspirations:• Catalyzing Top-Line Growth: I am committed to driving initiatives that will expand our market reach and elevate revenue.• Amplifying Gross Margin: My goal is to refine contract management processes to significantly improve our financial outcomes.• Aligning Contract Performance: I will ensure that our contracts are not just fulfilled, but that they set a new benchmark for excellence.• Streamlining RCM Processes: I aim to preemptively tackle revenue cycle management challenges to maintain robust financial operations.Planned Responsibilities:• Revenue & Performance Enhancement: With a keen eye on analytics, I will optimize contract efficiency and revenue potential.• Innovative Process Implementation: I plan to introduce and oversee streamlined contract implementation, ensuring operational agility.• Diligent Contract Auditing: I will conduct thorough audits to uphold the integrity and compliance of our contracts.• Proactive Revenue Cycle Oversight: Anticipating fiscal challenges, I will actively manage and safeguard our revenue streams.In embracing this new challenge, I am excited to contribute my skills and vision to ensure that Optum Infusion Pharmacy continues to lead and innovate within the industry. Show less

Certified Pharmacy Technician (CPhT):• Objective: To provide high-quality customer service and support the pharmacist on duty, physicians, and clinicians.Responsibilities:• Complete patient payment transactions and coordinate insurance information.• Confirm the validity of prescriptions and patient information.• Assist pharmacists in organizing medications, measuring and preparing doses, and packaging and labeling prescriptions.• Maintain drug inventory, stock… Show more Certified Pharmacy Technician (CPhT):• Objective: To provide high-quality customer service and support the pharmacist on duty, physicians, and clinicians.Responsibilities:• Complete patient payment transactions and coordinate insurance information.• Confirm the validity of prescriptions and patient information.• Assist pharmacists in organizing medications, measuring and preparing doses, and packaging and labeling prescriptions.• Maintain drug inventory, stock medications, and monitor supplies.• Perform administrative tasks such as recordkeeping, responding to insurance claims, and answering phones.• Required Skills and Qualifications:• High school diploma or equivalent.• Experience as a pharmacy technician.• Understanding of medication dosages and measurements.• Strong written and verbal communication skills.Licensed Pharmacy Technician (LPhT):• A licensed pharmacy technician is someone who meets all state requirements for working in a pharmacy. Licensing qualifications vary by state, but generally include completing all licensure prerequisites.Licensure is typically issued by state or government agencies and allows technicians to work in pharmacy settings. Show less

Performance Optimization Manager partners cross functionally to monitor and maintain success in operational process, automation and technology. Identify additional areas of opportunity for automation that align with our strategic objectives. The Performance Optimization Manager serves as Subject Matter Expert in automation for Specialty Operations. Collaborate with departments across front end operations and automation teams as well as P&L leaders, clinical services teams, pharma relations… Show more Performance Optimization Manager partners cross functionally to monitor and maintain success in operational process, automation and technology. Identify additional areas of opportunity for automation that align with our strategic objectives. The Performance Optimization Manager serves as Subject Matter Expert in automation for Specialty Operations. Collaborate with departments across front end operations and automation teams as well as P&L leaders, clinical services teams, pharma relations, finance, consumer experience, digital capabilities teams, legal and human capital. Show less

Oversee cross functional teams within Specialty Optum Global Advantage front end Pharmacy Operations, onshore Resolution offline & Holds teams focusing on compliance to specialty therapy. While continually managing the global relationships, functions, and various projects & initiatives I have been virtually managing remotely since

Managed overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership. Provider expertise and customer service support to members, customers, and/or providers. Identified and resolved operational challenges using defined processes, expertise and judgement. Investigated claims and/or customer service issues as identified and communicated the resolution to our customers. Worked with… Show more Managed overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership. Provider expertise and customer service support to members, customers, and/or providers. Identified and resolved operational challenges using defined processes, expertise and judgement. Investigated claims and/or customer service issues as identified and communicated the resolution to our customers. Worked with all specialty regional pharmacies to ensure the best possible customer service for our Open market customers. Traveled 75%.Launched & trained 4 new specialty pharmacies. Traveled and trained the first global customer service team globally in Cebu, Philippines.Partnered and collaborated with Optum Sales Team(s). Show less

Customer Service LeadResponsibilities: Oversee customer service operations, manage a team of representatives, ensure high-quality service, and handle complex customer inquiries.Qualifications: Experience in customer service management, strong leadership skills, excellent communication abilities, and proficiency in healthcare systems.

Patient Care CoordinatorResponsibilities: Act as the first point of contact for patients, coordinate care, schedule appointments, and manage patient records.Qualifications: Experience in a healthcare setting, knowledge of insurance plans, and excellent organizational skills.

Subject Matter ExpertResponsibilities: Provide expert guidance on specialty pharmacy processes, assist with clinical documentation, and support quality improvement initiatives.Qualifications: Deep knowledge of pharmacy operations, clinical experience, and strong analytical skills.

Inventory SpecialistResponsibilities: Manage and monitor inventory levels, place orders, and ensure the accuracy of inventory records.Qualifications: Experience with inventory management in a pharmacy setting and attention to detail.

RSV Patient Care CoordinatorSpecialized in end to end RSV therapy and points of contact for RSV Specialty Sales Representatives and physicians. Responsibilities: Provide specialized care coordination for patients with Respiratory Syncytial Virus (RSV), including scheduling, insurance verification, and patient education.Qualifications: Experience in patient care coordination, particularly with RSV or similar conditions, and strong communication skills.

Position: Photo Lab Technician Location: CVS PharmacyJob Summary: As a Photo Lab Technician at CVS Pharmacy, responsible for the operation and maintenance of photo processing equipment. Assist customers with their photo needs, ensuring high-quality service and products. Played a vital role in providing a memorable customer experience through the creation of photo keepsakes.Key Responsibilities:~Assist customers in using the photo kiosk for in-store prints1.~Develop film… Show more Position: Photo Lab Technician Location: CVS PharmacyJob Summary: As a Photo Lab Technician at CVS Pharmacy, responsible for the operation and maintenance of photo processing equipment. Assist customers with their photo needs, ensuring high-quality service and products. Played a vital role in providing a memorable customer experience through the creation of photo keepsakes.Key Responsibilities:~Assist customers in using the photo kiosk for in-store prints1.~Develop film from disposable cameras and perform required tests on equipment to ensure the quality of photos.~Print and complete online photo orders, ensuring they are ready for in-store pick-up by the deadline.~Maintain a clean and organized work area, adhering to CVS Pharmacy’s policies and procedures.~Report any suspicious or illegal items to management when found.~Ensure proper price tags are attached to each item and that the proper payment methods are used during purchases. Show less

Position: Lead Pharmacy Technician Location: CVS PharmacyJob Summary: As a Lead Pharmacy Technician at CVS Pharmacy, deliver compassionate care to millions of patients every day. Built upon the skills and responsibilities of a Pharmacy Technician, focusing on being a role model, mentor, and guide to the pharmacy team while supporting the Pharmacists.Key Responsibilities:~Engage customers to learn about their health and medications, positioning CVS as a partner in their path… Show more Position: Lead Pharmacy Technician Location: CVS PharmacyJob Summary: As a Lead Pharmacy Technician at CVS Pharmacy, deliver compassionate care to millions of patients every day. Built upon the skills and responsibilities of a Pharmacy Technician, focusing on being a role model, mentor, and guide to the pharmacy team while supporting the Pharmacists.Key Responsibilities:~Engage customers to learn about their health and medications, positioning CVS as a partner in their path to better health.~Prioritize customer needs, displaying genuine care and empathy in all interactions to ensure complete customer satisfaction.~Comply with applicable Federal and State laws, regulations, professional standards, and ethical principles.~Follow workflow procedures with an in-depth understanding of each workstation for day-to-day coordination and processing of patient medication orders.~Manage responsibilities while shifting to help the team where needed, maintaining accuracy while meeting workflow and inventory management goals.~Proactively identify and resolve potential problems to ensure customers have their medications when needed. Show less

Position: Pharmacy Inventory Specialist Location: CVS PharmacyJob Summary: Played a vital role in maintaining the accuracy and efficiency of pharmacy inventory management. Attention to detail and organizational skills ensured that the pharmacy operated smoothly and that patients received their medications on time.Key Responsibilities:~Help establish true ownership for inventory management activities at the store level.~Support all pharmacy ordering activities, ensuring… Show more Position: Pharmacy Inventory Specialist Location: CVS PharmacyJob Summary: Played a vital role in maintaining the accuracy and efficiency of pharmacy inventory management. Attention to detail and organizational skills ensured that the pharmacy operated smoothly and that patients received their medications on time.Key Responsibilities:~Help establish true ownership for inventory management activities at the store level.~Support all pharmacy ordering activities, ensuring adequate stock levels for uninterrupted service.~Maintain accurate records of inventory flows and ensure documentation is complete.~Perform complete inventory checks of all stock and supplies to assure adequate supply and manage expirations.~Resolve insurance rejections and other billing issues related to inventory.~Assist other pharmacy staff with drug inventory, purchasing, and receiving. Show less

Position: Shift Manager Location: CVS PharmacyJob Summary: As a Shift Manager at CVS Pharmacy, oversee the daily operations of the store during your shifts, ensuring that sales targets are met and the store runs efficiently. Played a crucial role in maintaining a clean, safe, and organized store environment, providing excellent customer service, and leading your team to success.Key Responsibilities:~Manage shifts and schedule the work week, ensuring adequate staffing… Show more Position: Shift Manager Location: CVS PharmacyJob Summary: As a Shift Manager at CVS Pharmacy, oversee the daily operations of the store during your shifts, ensuring that sales targets are met and the store runs efficiently. Played a crucial role in maintaining a clean, safe, and organized store environment, providing excellent customer service, and leading your team to success.Key Responsibilities:~Manage shifts and schedule the work week, ensuring adequate staffing levels.~Supervise on-duty employees, assign tasks, and establish priorities for the store.~Ensure staff compliance with company policies and procedures, addressing any misconduct or violations.~Train new or inexperienced employees, provide regular feedback, and assist in their development1.~Handle customer complaints promptly, courteously, and efficiently.~Deal with potential hazards, report safety concerns, and ensure a safe shopping environment.~Ensure products are displayed and stored correctly following company procedures.~Serve customers in person, on the phone, or via email regarding product questions or complaints.~Enforce safety rules, lead daily meetings with staff, and manage cash receipts for the store. Show less