Michael Wan Email & Phone Number

Laguna Beach, Ca, Us

Demonstrated proficiency in multi-tasking and ability to resolve ambiguous and unexpected operational items within daily workflow. Improved and designed projects, processes, and procedures to enhance Medicare Star ratings and development of quality and performance measures. Cross-collaborated across highly-matrixed environment with various health care professionals and care team personnel, legal and regulatory representatives, as well as key opinion leaders. Implemented logic within operating systems and internal tools which accurately met business needs and intent. Established proven communication, interpersonal and collaboration skills.

Offering MTM and long-term care consulting services such as comprehensive reviews of pharmacological treatment. Involved in oversight of management and policy of wholly-owned subsidiaries as well as optimizing performance and prospects of those subsidiaries on an on-going basis. Additionally, I consult on an array of asset classes and aid in providing investment strategies elucidating the multitude of ways to invest outside of conventional wealth management tactics in a way thats tailored for the individual client.

Streamlined pharmacy workflow, retuned pharmacy cost-saving strategies, maintained pharmacy regulatory compliance. Investigated and resolved issues related to patient care. Engaged in counseling patients, consulting with healthcare providers on drug therapy, inventory management, administering immunizations, and leading the pharmacy team in day-to-day operations. Trained new and returning pharmacists and technicians. Advised on new procedures to ensure accuracy and timeliness of continuing care.

Hartford, Connecticut, Us

Conducted utilization management reviews to assess medical necessity and medication appropriateness. Interacted with prescribers and insurance providers to clarify or obtain additional clinical information. Reviewed and interpreted clinical guidelines and formularies to determine medication coverage. Educated and provided support to patients, prescribers, and care staff regarding medication coverage and reimbursement issues. Participated in quality improvement initiatives to enhance the prior authorization and appeals process to improve patient outcomes and healthcare cost-reduction. Navigated complex insurance policies and regulations to advocate for beneficiaries. Handled high-dollar, specialty, DUR, Medicare, opioid overutilization, and tier-cost reviews. Developed strong analytical, communication, and problem-solving skills, as well as the ability to work with a diverse range of stakeholders to ensure patients are meeting their medical needs.

Us

Led and educated a team of pharmacists in the utilization management and authorization review process. Appointed subject matter expert for pharmacy back-end coding, claims analysis, policy and procedures, and job aid development. Ensured proper coverage and efficacy of medications. Collaborated with health care professionals across the care matrix to optimize patient outcomes. Prior experience with Medicare, Medicaid, and commercial lines of business. Performed DUR, claim dollar, opioid risk/MED, compounding and specialty drug reviews. Spearheaded the launch and adaptation of drug benefits programs, criteria, and procedural documents for various state-specific Medicaid programs. Experience includes specialty pharmacy and rare disease therapeutics, high dollar reviews, and opioid overutilization management.

Portland, Oregon, Us

Engaged in counseling patients, consulting with other healthcare providers on current drug therapy, managing inventory, administering immunizations, and leading the pharmacy team. Exhibited comprehensive, patient-specific pharmacy services and care. Introduced new methods of increasing sales margins and revamping the sales floor layout.

Woonsocket, Ri, Us

Responsible for all aspects of pharmacy business for a settlement store, including profit and loss, inventory management, staffing and team management, exceptional customer services, and offering quality patient care. Accomplishments include: - Successfully led quarterly board of pharmacy visits- Built a culture of strong operations and compliance - Led the group (57 stores) in guest service - Served as a district trainer for new in role pharmacists, interns, and technicians.- Recognized as a top performer by the district

Washington, Dc, Us

Collaborated amongst clinicians and various healthcare personnel to ensure proper care and enhance clinical outcomes. Spearheaded QI/QA initiatives to identify proper and improper management of prophylactic and maintenance therapies in immunocompromised patients.

Provided patient consultations, verified new prescriptions for outpatient care. Entrusted with responsibility of managing perpetual inventory for narcotics and aided in prescription clarification process.

Norwalk, Connecticut, Us

Designed ways to streamline operations in the supply chain. Merchandised products for clients through building effective working relationships, maintaining live inventory counts, processing of receivables and payables, as well as updating and executing marketing and product placement strategies.

Doctor Of Pharmacy - Pharmd, Pharmacy

Bachelor Of Science - Bs, Strategic Management

High School Diploma, Rotc Hscp