Marc Bingaman Email & Phone Number

Phoenix, Arizona, United States

Phoenix, Arizona, United States

• While supervising clinical prior authorization pharmacist team, reduced compliance violations, decreased decisioning and reporting errors, and decreased Independent Review Entity (IRE) overturn rate for appeals with.
• Managed daily work queues and prior authorization pharmacist assignments across multiple lines of business for Medicare
• Created standard operating procedures for Medicare Part D Coverage Determination and Appeals (CDA) processes to ensure compliance with newly released Parts C & D Guidance
• Conducted and reviewed prospective and retrospective quality monitoring of CDA processes; supplied deliverables for ongoing compliance and quality monitoring for Medicare Part D plan
• Performed root-cause analysis of pharmacist errors and non-compliance incidents; developed enhanced pharmacist coaching model and drafted corrective action plans to prevent recurrence
• Collaborated with Formulary Administration (FA) teams to identify and resolve problems related to administration of Plan benefits with formulary and clinical criteria changes

Phoenix, Arizona, United States

• Allocated work assignments for Medicare Part D clinical pharmacists
• Conducted retrospective and prospective quality reviews of pharmacist CDA processes to ensure compliance with CMS Chapter 18 requirements; provided coaching to clinical pharmacists
• Created classification scheme of formulary drugs to standardize evaluation of exception requests
• Developed job aids and training protocols for CDA processes for pharmacists and physician reviewers
• Presented and defended coverage determination decisions during Plan validation audit
• Rendered decisions for CDA requests in compliance with CMS requirements and Plan guidelines

Phoenix, Arizona, United States

• Rendered decisions for CDA requests in compliance with CMS requirements and Plan guidelines; communicated with prescribers to obtain clinical information
• Utilized Microsoft Office software suite to develop macros and other methods for accelerating review of CDA requests and increasing pharmacist productivity
• Delivered testimony for cases heard by Administrative Law Judges through the Office of Medicare Hearings and Appeals

Phoenix, Arizona Area

• Verified prescription orders in a fast-paced retail environment.
• Recommended and administered vaccinations to adult and pediatric patients.
• Counseled patients on optimal usage of prescription and nonprescription drugs.

Phoenix, Arizona Area

• Verified prescription orders in a fast-paced retail environment.
• Recommended and administered vaccinations to adult and pediatric patients.
• Counseled patients on optimal usage of prescription and nonprescription drugs.
• Provided medication therapy management services to Medicare Part D patients.

Tucson, Arizona Area

• Counseled patients receiving specialty medications for HIV, hepatitis C, oncology, and solid organ transplantation.
• Drafted progress notes for healthcare providers and FDA MedWatch program.
• Compounded topical hormone replacement therapy drug products.

Phoenix, Arizona Area

• Resolved insurance adjudication issues for prescription orders.
• Placed medication orders and managed returns to drug wholesaler.
• Enhanced medication adherence through telephone based outreach.

Phoenix, Arizona Area

• Developed multi-color flow cytometric assays to assess cytotoxic and immunological effector functions for antibody drug candidates.
• Maintained naive and drug-resistant lymphoma and breast cancer cell lines.
• Performed immunofluorescent and immunohistochemical tissue staining.
• Co-wrote pre-Investigational New Drug Application for lead antibody candidate and participated in discussions with FDA Oncologics Drug Advisory Committee.

Tucson, Arizona Area

• Created and implemented protocols for conjugating quantum dot fluorophores to cDNA probes for tissue colocalization studies.
• Assessed gene expression with in situ hybridization tissue staining techniques.

Tucson, Arizona Area

• Performed structure-based sequence alignments to identify structurally-conserved regions of protein families with low sequence identities.
• Leveraged UniProtKB/Swiss-Prot database with Molecular Operating Environment software to identify putative members of protein families using sequence alignments.

Doctor Of Pharmacy (Pharm.D.), Pharmacy, Pharmaceutical Sciences, And Administration, 3.8

Activities and Societies: • American Pharmacists Association • American Society of Health-System Pharmacists • Arizona Pharmacy.

Bachelor Of Science (B.S.), Biochemistry And Molecular Biophysics, 3.8

Activities and Societies: • Phi Beta Kappa Academic Honorary • University of Arizona Honors College • University of Arizona Undergraduate.

Bachelor Of Science In Health Sciences (B.S.H.S.), Physiology, 3.8

Activities and Societies: • Phi Beta Kappa Academic Honorary • University of Arizona Honors College • University of Arizona Undergraduate.