Mitchell Conner Email & Phone Number

➤ Applied extensive knowledge in oncology and auto immune medication to achieve more than $2.4M in 2022 sales.➤ Developed strong business-to-business relationships within company's largest oncology accounts and hospital systems.➤ Drove development and execution of focused and strategic account plans for all assigned accounts and service lines.➤ Built on familiarity with major oncology facilities from Los Angeles to Santa Barbara to obtain meetings with doctors.➤ Fostered and developed relationships with key KOLs at City of Hope, USC, UCLA, cCARE, UCSD, and Scripps.➤ Engaged target customers on the full oncology portfolio and identified key market trends and areas of mutual interest.➤ Communicated daily with physicians, nurses, and prior authorization departments to ensure Rx delivery to patients.➤ Aligned with leadership to ensure appropriate understanding of, support for, and attainment of key account goals.➤ Utilized knowledge of manufacturer copay cards, hubs, and patient assistance programs to support medication sales.➤ Effectively collaborated with cross-functional, field-based colleagues to ensure optimal engagement with key accounts.➤ Launched and advanced the biosimilar oncology portfolio in community oncology and academic medical centers.➤ Advanced quality-based initiatives and projects at key accounts to align with oncology portfolio and customer priorities.➤ Engaged appropriate customer targets with respect to contracting, pricing, and value messages in support of portfolio.

Woodland Hills, Ca

➤ Reviewed physician or pharmacy requests for prescription drugs that were non-formulary or exceeded quantity limits.➤ Ensured all required prior authorization documents were correct before submitting to payors for formal approval.➤ Researched prior authorization requirements, investigated denied orders, and requested assistance needed for processing.➤ Worked with multiple departments to ensure a smooth and quick process for Medicaid and Medicare clients.➤ Assigned, entered, and documented prior authorizations in the claims processing system in a timely manner.➤ Received referral requests from care providers, practices, and facilities and processed them for authorization.➤ Fielded phone calls for prior authorization inquiries as well as validated and interpreted pharmacy and medical benefits.➤ Ensured appropriate documentation for criteria was met and approved request or forwarded request for further review.➤ Researched clinical review issues to determine approval status including those for prior tried and failed medications.➤ Prepared approval/denial reports, reviewed and analyzed data, and submitted summary reports to management.➤ Verified patient's demographic and insurance information within billing system and coordinated the PA process.

Irvine, Ca

➤ Researched information forwarded to customer service representatives to ensure all coverage variables were met.➤ Provided reporting and analysis, initiated and directed projects, and provided technical knowledge sharing/consulting.➤ Confirmed deductibles, copays, and services provided before forwarding approved information to be processed.➤ Partnered closely with teams across the organization to gather information and provide consultation to leadership.➤ Performed extensive reviews of submitted materials to ensure program compliance and documented submissions.➤ Worked closely with delegated provider partners as well as with internal teams to resolve and prevent issues.➤ Helped improve care provider experience by reducing the administrative burden that issues place on UHC and providers.➤ Utilized project management and analytical skills and extensive knowledge of the business and business processes.➤ Analyzed and interpreted data to identify trends, patterns, and opportunities for the business as well as clients.➤ Communicated analysis and interpretation to appropriate audiences for operational and business planning.

Irvine, California, United States

➤ Evaluated work performed by Prior Authorization Advocates to ensure all processes were performed correctly.➤ Reviewed clinical pharmacist activities and documentation to ensure compliance with communication guidelines.➤ Provided input on guideline revisions, taught guidelines and standards to advocates, and prepared evaluation reports.➤ Performed quality assurance for Mail Service and Help Desk departments and made improvement recommendations.➤ Provided coaching, training, and staff performance development to ensure high-quality customer interactions.➤ Reported daily quality scores to managers and directors of Learning and Performance Development department.➤ Participated in quality focus programs as well as facilitated supervisor calibration for call center quality assurance.➤ Raised site quality average over 2-year period by 25.7% and received 2008 J.D. Power Pharmacy Satisfaction Award.➤ Ensured compliance with Six Sigma methodologies as an integral part of implementing key operational processes.

Irvine, California, United States