CUSTOM HEALTH (formerly Case Haub Consulting and CHC HEALTH), Remote (headquarters in Iowa) 2017-presentClinical Pharmacist- MTM (Medication Therapy Management)Council patients on a daily basis who have multiple chronic health conditions as well as polypharmacy, to ensure that they are informed about their medications.• Screen for drug interactions between OTC, prescription, and herbal medications• Screen for specific side effects• Assist with diabetes management• Ensure adherence and that patient is taking medication correctly, as prescribed.• Answer questions that patient may have• Ensure that patient understands what condition they are taking their medication for.• Assist in areas where there are potential cost-savings.• Discuss deprescribing for unnecessary or harmful medications.

Travel is one of my passions and I am sharing my experience with others!

2013 – 2015Reviewed FDB data and Medispan translation to ensure correct clinical intent was captured as client platforms transferred. Performed and reviewed manual testing, batch testing, and parallel claim testing.• Migrated coding / claims adjudication process of acquired clients to RX Claim Platform, analyzing and converting FDB data and translating to Medispan data.• Provided large level of review and detail, ensuring client intent correctly captured.• Created environment of process improvement by frequent client interaction, while fostering questions and solutions.Clinical Coding Pharmacist Manager 2008 – 2013Led team of clinical coding pharmacists and technicians. Held regular meetings with staff, delegated projects, completed performance evaluations, held job interviews, and helped guide and develop career paths.• Created log of coding issues / updates and discussed on biweekly call, keeping team members informed and preventing issues to go unresolved.• Hired and trained 2 pharmacists and 1 technician, cultivating team for enhanced client care.• Led team in implementation of programs, boosting operations and client satisfaction.• Achieved 100% retention of clients by directing team’s efforts for optimal customer care.• Orchestrated “coding clean-up” projects, capitalizing future programs for implementation.

Clinical Coding Pharmacist 2005 – 2008Mapped and coded clinical drug rules for clients by accessing RX Claim System and included overseeing drug status, PA, step therapies, QLs, min / max age, and cost ceiling. Updated formulary information and changes, into ePocrates and other databases, in live environment.• Identified coding needs and transferred changes into system as primary person in new role aimed at integrating drug benefit rules into practice.• Updated ePocrates and drug look-up databases, ensuring members always had up-to-date access to drug information.• Researched claim issues, determining reason for incomplete processing and finding solutions to unanswered problems. Consultant Pharmacist II 2004 – 2005Clinically reviewed prior authorization requests based on criteria created by MassHealth (MA state Medicaid program). Entered prior authorization approvals and denials in ACS system. Received calls, within call center, from prescribers and pharmacists while discussing prior authorization approvals and denials.• Exceeded daily quota of PA reviews, making sound judgements and entering prior authorizations into system.

Verify and dispense medicationsReview drug interactions Council patientsRinging people up at the registerShelving (stocking new medications, removing expired ones)