Esmeralda C. Email & Phone Number

Philippines

Ortigas Pasig City

-- Implements consistent, efficient and quality processes to meet deadlines and deliverable according to requirements and standards operating procedures.-- Ensures compliance of operations with governing regulatory requirements-- Creates, maintains and assumes accountability for a culture of high customer service-- To responds to medical information queries/product quality complaints-- Receives information and record Adverse Drug Reaction reports that may be received over telephone call-- Performs any other support activities as assigned - tracking various types of information and metrics, ongoing QC of defined process steps, training, reconciliation of data from multiple sources including literature search-- Assumes responsibility for quality of data processed

Taguig

• Performed daily maintenance of prescriber records in the US region especially hospitals, using reference sources to make sure all pertinent information are up to date and accurate.• Performed phone verification and research of details on prescriber records to validate accuracy of reference data maintained as well as capture client-required details such as primary office address and primary profession/specialty.• Responsible for maintaining excel sheets containing client-required details that varies from one project to other.• Performed functions as directed by the supervisor.

Taguig

• Analyzed benefit requests and secure all necessary data to ensure appropriate implementation based on applied logic of pharmacy claim adjudication system• Worked with Client Management to implement new and maintain existing benefit plans and client pricing in the pharmacy claim adjudication system• Worked with Clinical Pharmacy to implement formulary updates and clinical programs in the pharmacy claim adjudication system• Worked with Pharmacy Network Management to implement pharmacy rate changes and network additions in the pharmacy claim adjudication system• Ensured timely communication of any issues and/or information needed to complete a plan request• Developed client specific implementation plans and manage implementation processes in accordance with department protocol• Run queries out of the adjudication system to secure all necessary information to implement plan requests• Developed and run macros to implement plan requests• Performed claim testing to ensure accurate claim adjudication• Maintained acceptable and appropriate quality levels and production turn-around time• Researched and responded to all claims processing inquiries from client, management, clinical, and other internal department

Fort Bonifacio, Global City Taguig

• Conducted research that is relevant to the curriculum development of nursing.• Developed curriculum according to specific program requirements and in compliance with government-mandated specifications, such as those of the CHED and TESDA• Produced the final and complete copy of Curriculum Kit (Curriculum Structure, Classification of Courses, Classifications of Units, Course Descriptions, Competency Based Curricula, Syllabi, Matrices of Accreditation, and other materials related to curriculum) in soft and hard copy, according to program specifications and regulatory (CHED and TESDA) standards• Developed relevant assessment materials such as exams, projects and case studies for specific courseware)• Produced the final and complete copy of the Courseware Kit (Course Outlines/Syllabi, Instructor’s Guides, Slides, Student Materials, Examinations, List of Books, List of HW/SW Requirements, List of Laboratory Equipment and Materials, and other supporting Materials related to courseware) in soft and hard copy.• Engaged in identified activities for courseware development enrichment such as observation of actual courseware implementation and/or teaching of developed/validated courseware• Authored Educational Manual (book) for Maternal and Child Health for STI students