Raquel Briggs Email & Phone Number

Expertly lead and mentor a team of over 30 clinical review pharmacists performing appeal level utilization management reviews, fostering their growth and development.Oversee and elevate the quality of complex clinical reviews, emphasizing adherence to evidence-based practices and clinical guidelines.Collaborate closely with healthcare providers, leveraging advanced clinical knowledge to resolve intricate medication-related issues, optimize patient outcomes, and ensure cost-effective drug therapy.Conduct in-depth case reviews for medically complex patients, identifying and addressing potential drug-related problems and adverse drug events.Effectively manage workload distribution among the team, ensuring productivity and quality targets are consistently met.Develop and execute comprehensive training programs for new team members, reducing onboarding time and enhancing their clinical proficiency.Serve as the go-to resource for intricate clinical cases, offering expert consultation and recommendations to achieve optimal patient care.Spearhead process improvements and quality assurance initiatives with various clients, driving departmental efficiency and accuracy to new heights.Maintain strict compliance with state and federal regulations, accrediting bodies, and industry standards.

Provide quality independent clinical reviews for prior authorization appeals for commercial and Medicare clientsHighly knowledgeable in specialty medicationsAdaptable skills in working with a diverse healthcare team remotely to deliver prompt clinical reviews and effective communication to meet client demandsExperience in training and auditing new pharmacists and medical directors for performing clinical reviews

Everett, Washington, United States

Collaborated with providers to ensure appropriate clinical therapy for patientsHeld leadership role in district managing 7 stores for vaccination program outcomesResponsible for implementing clinical point of care services and training peersConsistently exceeded expectations for store performance compared to peers

Greater Seattle Area

Experience promoting adaptable solutions in change management during 2 computer system changes and an acquisition to CVS workflowManaged a team of pharmacists, pharmacy technicians, and support staff, ensuring a collaborative and efficient work environment.Conducted regular staff meetings, provided guidance, and facilitated ongoing training to improve team performance and adherence to company policies and standards.Oversaw all aspects of daily pharmacy operations, including prescription filling, compounding, and dispensing, to ensure accuracy and compliance with regulatory requirements.Managed inventory levels, control costs, and optimize the procurement of pharmaceuticals and supplies.

Des Moines, Iowa Area

I spent 5 weeks with the Iowa Pharmacy Association (IPA) for my Association Management Rotation. I gained experience in the development of policies, professional communications, legislative affairs, continuing professional development, continuing education, and legal standards. I was involved in drafting sample protocols for immunization services in pharmacies. I developed vaccine product reference tables for members and also submitted weekly IPA webposts on pharmacy hot topics.

•Provided patient counseling and education•Prepared medications for pharmacist verification•Answered phones from patients requesting general information about medications•Contacted prescribers for prescription clarification or changes as well as insurance for claim issues

•Directed preparation of 7002 seat arena and tasks of nearly 35 workers per event•Served as intermediate between general public and Drake Athletics Directors•Trained event management employees•Created chronological checklists for duties during events

Assisted with coordination of equipment room and fitness room operationsEntered information for employee scheduling and payroll Performed day to day facility maintenance