I have been in Pharmacy and PBM my entire working career, starting as a Pharm Tech (state and national still current) Moved to Auditing and Analytics and then to Business Process enhancement. I am a driven individual seeking a position in a company where my skills can benefit the company I work for and allow me to continue to grow professionally. Organized and disciplined team player with the ability to excel in independent positions requiring minimal supervision and the ability to handle multiple tasks.Key Strengths include but are not limited to:Effective Communication SkillsStrong Analytical SkillsExcellent Relationship Building Skills Strong Critical Thinking / Problem-Solving SkillsAble to adapt and work in fast-paced environments Great Time Management SkillsProficient with Microsoft Word, Excel, Access, and Tableau General applications of Agile Methodology
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Sr. Audit RepOptum Dec 2023 - PresentRemote -
Rebate AuditorCaribou Systems Sep 2022 - Dec 2022Remote• Review contract agreement with Clients to ensure appropriate billing on Rebate Claims• Reconciliation on errored Claims• Working on multiple Audits while being able to manage priority tasks• Suggestion on changes to make audit process smoother and easier to log• Collaborate and work with clients to come to agreements on audit findings -
Business Process AnalystOptum May 2020 - Apr 2022User Acceptance Testing with a focus in AccumulatorsEnd to End testing with onboarding clientsTest Planning and Execution Proficient in Agile System and Methodology
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Associate Business Process AnalystOptum Aug 2018 - May 2020• Creating Test Plans for system enhancements • Regression testing to ensure process functionality • Documenting, Reporting and Demonstrating Test Results • Participate in working sessions with IT Developers to gain additional knowledge of Test Requirements• Accurate and complete Documentation of Test Results to satisfy test needs• Trial Claim adjudication and Pricing Accumulation Testing
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Pharmacy Audit AnalystUnitedhealth Group Dec 2014 - Aug 2018• Review and Analyze Claims Data while applying knowledge of pharmacy policy/practice and data mining techniques to determine details of overpayment billing activity• Monitor and report compliance issues with regulatory requirements• Collaborate with Claims Administration Department in the reversal and re-billing of overpaid claims• Identify and document fraudulent or erroneous activities determined as a result of an on-site audit• Preform comprehensive Quality Assurance on Audit Reports -
Pharmacy Audit RepresentativeUnitedhealth Group Apr 2013 - Dec 2014Optumrx• Analyze and monitor Pharmacies for fraud, waste and abuse related to Independent, Compounding, Diabetic, and Specialty Pharmacies.• Data Mining to detail fraudulent, erroneous or abusive billing activity.
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Lead Pharmacy TechnicianCvs/Pharmacy Jun 2006 - Apr 2013• Oversaw the workflow for all other Pharmacy Technicians and Associates along side the Pharmacist in charge.• Prepared the bi-weekly staffing schedule and enters the shifts in the store operations computer so the daily punches for all staff are allowed. • Reviewed a weekly Inventory Analysis Report making sure that all outside vendor and warehouse orders and returns are accounted for and correctly logged
Mark Dunivent Education Details
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Business Administration And Management, General -
Trabuco Hills High SchoolHigh School Diploma
Frequently Asked Questions about Mark Dunivent
What company does Mark Dunivent work for?
Mark Dunivent works for Optum
What is Mark Dunivent's role at the current company?
Mark Dunivent's current role is Sr. Auditor.
What schools did Mark Dunivent attend?
Mark Dunivent attended Irvine Valley College, Trabuco Hills High School.
Who are Mark Dunivent's colleagues?
Mark Dunivent's colleagues are Raga Sudha, Shenetha Thomas, Tim Greenstein, Molly O'hara, Neha Tatvedi, Nutheti Sreelekha, Malika Perry.
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