Patrick Mackey Email & Phone Number

• Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
• Develop and maintain accreditation readiness schedule.
• Creates policy and procedures to support accreditation activities.
• Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
• Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
• Coordinate assigned NCQA and HEDIS work plan activities.

Greater San Diego Area

• Perform accreditation and quality management related audits and activities with an emphasis on obtaining or maintaining NCQA accreditation and state Utilization Review (UR) licensure.
• Participate in onsite audits/reviews, agency inquiries, and training employees, as needed.
• Perform ongoing monitoring to ensure the organization is meeting accreditation standards.
• Analyze data, workflows, policies and procedures to assess program effectiveness. Interprets significance of routine-intermediate findings to identify areas of improvement, make and implement recommendations for.
• Define and document accreditation and compliance process steps (i.e., policy and procedures) in accordance with current state, federal, and independent accreditation and UR licensing requirements.
• Communicate and consult with internal partners to assist with the implementation of accreditation and compliance recommendations for assigned area(s).

San Diego

• Served as a technical subject matter expert for all Part D audits by CMS
• Lead assigned audits as the primary participant for the PA & UM department
• Project managed to ensure departmental goals and initiatives are achieved; When not in audits, learned all aspects of the current PA program for assigned clients, MedImpact internal processes, and applicable regulations
• Provided QC to, audit related reports and all supporting documentation
• Trained staff in audit requirements as needed
• Worked with the Audit Support Pharmacist(s) and Audit Support Technician(s) the PA & UM QA Department, Government Programs, and clients to design and implement Quality Improvement projects related to audit findings.

Temecula, CA

• Data entry
• Manage working inventory for departmental needs, various nursing units, and operating rooms
• Prepared medications for topical, enteral and intravenous use.
• Delivered medications to patient rooms, nursing stations, and operating rooms

Rancho Mirage, CA

• Data entry
• Manage working inventory for departmental needs, various nursing units, and operating rooms
• Prepared medications for topical, enteral and intravenous use.
• Delivered medications to patient rooms, nursing stations, and operating rooms

• Prepared pharmaceuticals for dispensing to patients by packaging bulk products into unit-of-use packaging
• Compounding products by combining several ingredients after review of calculations and measures by a licensed pharmacist.
• Maintained working inventory within established department guidelines by reviewing stock levels and recording for order, removing stock from storage areas and replenishing active use areas.
• Assist pharmacist in provision of pharmaceutical care by reviewing and collecting data used by pharmacists in pharmaceutical care
• Collecting and entering data into the pharmacy information system as directed
• Answering telephone calls and greeting staff and responding appropriately if qualified or authorized to do so.

Bachelor Of Arts (B.A.), Non-Profit/Public/Organizational Management

BA in Organizational Management with a Minor in Information Systems

Associates Degree, Business / Technology

AA in Business Foundations