• Utilize healthcare domain experience in analytics to develop impactful analytics products for executive leadership and external customers.• Provide technical and analytical expertise to deliver targeted insights supporting data-driven decision making.• Identify opportunities for Value Based Payment contracting through analyzing member and provider performance data.• Evaluate data accuracy and completeness to make recommendations for key business partners and management.

• Play a key role in the implementation in maintenance of SAP CRM modules, contributing to increased productivity and improved workflow. • Develop and implement fraud detection strategies in compliance with federal laws. • Collaborate with cross-functional senior teams in multiple states to gather, process and present findings to state agencies. • Manage and Execute High volume data entry ensuring accuracy and compliance with established protocols• Engage stakeholders and maintain working business relationships with clients and internal support teams to enhance workflows and improve customer experience.• Investigates, reviews, and analyzes claims data applying knowledge of pharmacy and appropriate utilization patterns to provide recommendations for enrollment in pharmacy fraud waste and abuse programs.• Create/manage/maintain program-related documents and data (ex. Spreadsheets reports, claims records, and dashboards)• Ensures business processes are in place to monitor and manage operational processes as defined by national standard.

• Navigated multiple computer programs to review and document the accuracy of case reviews, report errors and remediate as directed.• Leveraged resources to ensure accuracy and compliance in conjunction with HIPPA regulations.• Interpreted data to address customer escalations and ensure an effective solution is provided.• Implemented iterative, continues improvement plan to meet targeted quantitative outcomes.• Developed and maintain data entry procedures and protocols to ensure compliance and streamline processes, resulting in QPH production of 100% consistently.

• Resolve 40+ daily client inquiries for technical and non-technical issues, via phone, live chat, and email channels.• Spear headed process optimization initiatives within healthcare operations, utilizing analytics tools to identify inefficiencies and streamline workflows. • Compile and presented analytical reports to senior leadership translating complex data into actionable insights for strategic decision making.• Obtained skills in business operations, process management and compliance and an understanding of the process best practices and tools to execute their client’s core business processes.• Utilize Slack, Zoom, Outlook to communicate updates regarding patient status.• Implemented data driven strategies resulting in 21.2% improvement in operational efficiency and service delivery to our client. • Collaborated with stakeholders to develop and implement strategies for improving patient care delivery.

• Responsible for sterile drug preparation and supporting activities.• Aseptically perform and support manual filling activities within a cleanroom environment• Report and make recommendations regarding equipment, facilities, supplies, required repairs, process concerns, safety concerns and areas for improvement in quality, yield and efficiency.• Recognize inappropriate directions and/or equipment operation and notify management accordingly.• Support equipment calibration, equipment/utility validation, and preventive maintenance.• Perform appropriate aseptic and cleaning techniques.• Execute production recipes, check-in equipment, and perform material movements using automated computer software applications.• Adhere to all facility safety policies and procedures and proactively identify unsafe conditions.• Understanding of scientific formulations, aseptic techniques/environments

• Accurately entered patient information into the pharmacy CRM. • Dispense medications accurately and efficiently, following established protocols and maintain strict adherence to safety standards. • Maintained customer happiness with forward-thinking strategies focused on addressing customer needs and resolving escalations.• Assisted pharmacist in prescription preparation, compounding medications and conducted routine medication checks to ensure available of pharmaceutical supplies.