Receive and responds to phone calls from prior authorization pharmacy technician and providers for clinical information Direct communicate with various personnel for the following: o Physicians/providers in answering questions, interpreting clinical guidelines criteria, and evaluating coverage determination for prior authorization cases o Pharmacy technicians/physicians on proper use of medications and formulary alternatives when requestedTake charge of gathering complex clinical information, coverage policy, and criteria information, while complying with regulatory guidelines to create coverage determinations Exhibit strong work ethics by organizing workload, setting priorities, completing assignments, using appropriate resources, and adhering to department program standardsEnsure all duties and functions aligned with state and federal pharmacy laws and regulations, as well as department quality assurance and improvement guidelinesDevelop and maintain strong working relationships with coworkers, internal customers, other departments, team members, other internal and external customers, and management team through customer service orientation and continuous positive image of OptumRx

Director of Pharmacy for Evergreen PharmacyProvide direct oversight to daily clinical pharmacy operations, including managing all legal requirements of the pharmacist in chargeTake part in short- and long-term planning to develop initiatives toward achievement of company’s overall goals Lead the Wisconsin Drug Repository Program and Evergreen Injection Clinic Program in the Evergreen PharmacyDemonstrate efficiency in fulfilling various roles, which include:o Leader of non-dispensing revenue sources, such as medication therapy management (MTM), immunizations, industry pharmaceutical data collectiono Site coordinator and supervising preceptor for PGY-1 pharmacy residency to ensure adherence to American Society of Health-System Pharmacists (ASHP) regulationso Technical expert for pharmacy software, including Integra, QS1, and DocuTracko Pharmacist in charge to ensure proper credentialing of all personnel and manage Evergreen’s controlled substance program by conducting yearly Drug Enforcement Administration (DEA) Self Audit and bi-annual controlled substance inventory and auditing controlled substance invoices and dispenses

Assumed accountability in handling non-sterile compounding as well as ordering and maintaining compounding materialsFacilitated training to all staff members regarding proper use of PhLEXParticipated in various district meetings and implemented new programs Demonstrated expertise in overseeing flu clinics; ordering and retaining inventory; and approving technician scheduling

Used Walgreens software to process and fill prescriptionsCounseled on prescriptions and answer patient’s medical questionsRecommend and described over the counter itemsAdministered Flu and Pneumococcal vaccines

Supervised intramural activities, officials, and scorekeepers.Enforced all the rules and regulations established by the Intramural DirectorAnswered questions, complaints, and mediated conflicts among participantsAttended regular staff meeting to evaluate the intramural program