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Meno
Pharmacist - Prior Authorizations
North Carolina Pharmacist License: 13696
Internet Speed: 303 MBPS
Summary:
A prior authorization pharmacist works specifically with the pre-approval process of filling prescribed medication
orders to ensure the proper insurance coverage and efficacy for the drugs used.
In this career, you work with patients as well as clinical staff, who relay prescription information from a provider.
Licensed pharmacist in 3 states with rich clinical pharmacy experience and analytical skills
Excellent experience in performing initial and final prescriptions verification
Highly experienced in assisting medical Dr. offices with PA inquiries and concerns
Review clinical data to support prior authorization appeals.
Knowledgeable of specialty medications dosage, counseling, and monitoring drug therapy outcomes.
Serve as principal contact for clinic and/or department staff regarding prior authorization process for services to
be rendered at the clinics
Education:
Certifications
Prior Authorization Certified Specialist (National Board of PA Specialist)
Certified Vaccinator
797 Sterile Compounding Certificate
Certified CPR
Certified Authorized user of Radioactive Materials Skills
Experience:
Supervision of Consultant Pharmacist staff while conducting Drug Regimen Reviews on assigned Skilled Nursing
Home and Assisted Living residents.
Compliance of state and federal regulations related to pharmacy services including Code of Federal Regulation
(42 CFR Part 483).
Enhance internal operations of drug delivery systems, customer satisfaction and Medication Therapy
Management.
Nursing staff education on medication administration and medication storage.
United Health Care - Optum Rx: (Temp Contract) Aug 2022 – Nov 2022
Prior Authorization; skilled in three different client segments.(remote)
Pharmacy Manager
Preparing time sensitive radiopharmaceuticals. 797 Sterile High-Risk Compounding per physician orders.
Review and assess P&L statement, comply with a 120-day planner, inventory control, billing, payroll, supervision
of personnel and budget monitoring.
Radiation Safety Officer (RSO) to comply with the regulations pertaining to the Department of
Transportation(DOT), Environmental Protection Agency(EPA), Nuclear Regulatory Commission(NRC), State Board
of Pharmacy and Corporate Policy and Procedures.
AstraZeneca, LP; Specialty Care Marketing and Sales: Apr 1998- Aug2007
Institutional Sales Specialist
Development of Strategic Targeting Plan for the state of South Carolina, North Carolina and parts of GA to
encompass Medical Directors and other health care professionals caring for those in the State Hospital System,
Long-Term Care environment and Department of Corrections.
Utilizing access tools to market selected products, while forming relations with the health care staff.
Maximize resources to excel above Regional and National sales forecast.
TEAM-WORK with Regional Account Directors and local sales divisions to leverage pull through opportunities to
maximize Market Share of key promoted products.
Home Care Pharmacy Incorporated a Division of Omnicare: Sept 1995- Aug 1996
Director of Clinical Services/Consultant Pharmacist
Supervision of Consultant Pharmacist staff while conducting Drug Regimen Review on assigned nursing home
residents.
Implementation of the Geriatric Pharmaceutical Care Guidelines to improve Therapeutic Interchanges.
Enhance internal operations of drug delivery systems and Home Infusion Therapy.
Committees: Corporate Professional Services Committee
Formulary Champion of Region
Instructor for nursing I.V. training courses.
Presentations:
Speaker’s Bureau: Searle Pharmaceutical Company, TAPP Pharmaceutical Company & Eli Lilly Pharmaceutical Company
APhA Annual Meeting: “Coordinator of Emerging Technologies and Their Impact on Pharmaceutical Care”
ASHP Mid-Year Clinical Meeting: “A Survey of Recent Graduates on Organizational Involvement”
ASHP Mid-Year Clinical Meeting: “A Model of Cooperative Success”