Driven Senior Pharmacy Services Specialist with proven track record and success in building strong relationships with members, Providers, health care facilities and vendors.. Detail-oriented with a commitment to maintaining high-quality assurance and control standards when handling prior authorizations for members.
Overview
14
14
years of professional experience
Work History
Senior Pharmacy Services Specialist
Blue Cross Blue Shield Of North Carolina
11.2015 - 08.2024
Enhanced pharmacy workflow by collaborating with other departments and Pharmacy Services Specialist to maintain proper inventory levels.
Assisted in the implementation of new pharmacy software systems, resulting in improved efficiency and data management capabilities.
Served as a mentor for staff members, offering guidance on best practices while promoting team cohesiveness and collaboration within the workplace.
Contributed to increased customer satisfaction through exceptional service and timely resolution of issues or concerns.
Implemented innovative solutions for workflow improvements that led to increased productivity among team members without sacrificing quality of care provided to members.
Successfully managed high-pressure situations during peak hours by prioritizing tasks effectively while maintaining attention-to-detail in a fast-paced environment.
Utilized advanced knowledge of medications to offer expert consultations regarding drug therapy recommendations to prescribers as needed.
Collaborated with interdisciplinary healthcare teams to coordinate care plans that resulted in optimized member outcomes.
Participated in continuous professional development activities to stay current on industry trends, regulations, and best practices.
Conducted quality assurance audits on a regular basis to ensure adherence to established protocols and regulatory standards within the CMS guidelines.
Improved patient experience by providing efficient and accurate medication dispensing services.
Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
Paramedic
Guilford County Emergency Services
08.2010 - 11.2010
Delivered advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life support (PALS) under pressure.
Delivered compassionate care to patients with a variety of medical emergencies, including cardiac arrests, traumas, strokes, and respiratory distress.
Improved patient outcomes by providing timely and accurate assessments, treatments, and interventions.
Worked en-route to hospital to prepare patients for arrival or surgery and control wounds.
Documented patient care accurately using electronic medical records software according to regulatory guidelines for billing purposes and continuous quality improvement initiatives.
Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
Enhanced team efficiency through clear communication and collaboration during high-pressure emergency situations.
Transferred patients safely and securely to medical facilities for continued care.
Assessed patient condition through physical and verbal exams and by collecting information from others at scene.
Adapted treatment plans quickly and effectively based on changing patient conditions and reactions.
Ensured patient safety by adhering to strict protocols for proper lifting techniques, equipment use, and infection control.
Identified appropriate medications based on potential interactions with other medicines, accurately calculating correct dosages according to drugs on hand and patient's weight.
Responded to daily emergencies and worked alongside firemen and EMTs.
Triaged injuries by communicating with patients, bystanders and family members and identified appropriate medical facility for transport.
Streamlined patient handoff processes at hospitals by clearly communicating relevant information to receiving staff, ensuring seamless continuity of care.
Participated in ongoing professional development opportunities such as conferences or workshops to stay current on best practices in pre-hospital emergency medicine.
Increased survival rates with rapid recognition of life-threatening conditions and swift initiation of appropriate interventions.
Evaluated patient vital signs and status to determine care needs using pulse oximeters and electronic vital sign machines.
Administered fluid replacement via IV, IO, and IM to replace fluid volumes and correct electrolyte imbalances.
Administered continuous 12-lead electrocardiogram monitoring to record heart rhythms in patients with acute coronary syndrome.
Promoted health equity within the community by offering culturally sensitive care to diverse populations while respecting individual preferences or needs.
Managed challenging or combative patients using de-escalation techniques and appropriate physical restraints when necessary, prioritizing safety for both the patient and medical team.
Delegated life-saving tasks to provide comprehensive treatment to triaged patients in emergency situations.
Dispensed medications and monitored patient responses for adaptive treatment.
Assisted with quality assurance initiatives by reviewing patient care reports and offering constructive feedback to improve overall performance within the organization.
Performed intubations to secure airway in patients under respiratory and cardiac arrest.
Stayed in constant communication with patients to continuously maintain care and comfort during transportation.
Restocked ambulance with proper equipment such as vents, ET tubes, medication, and IV pump tubing to maintain optimum inventory.
Communicated with medical professionals in medical terms to relay patient needs and maintain accuracy.
Maintained patient care, treatment and medication documentation for accurate, up-to-date clinical records.
Performed thorough vehicle inspections before and after shifts to maintain operational readiness and ensure compliance with state regulations.
Education
Associate of Applied Science - Paramedic
Davidson County Community College
Lexington, NC
05.2010
Skills
Collaboration and Teamwork
Pharmacology knowledge
Pharmacy Software Proficiency
Quality assurance procedures
Pharmaceutical Calculations
Insurance Billing
Medication Therapy Management
Drug utilization review
Problem-solving skills
Team Collaboration
Answering customer questions
Patient confidentiality
Confidentiality and HIPAA
Patient education and counseling
Timeline
Senior Pharmacy Services Specialist
Blue Cross Blue Shield Of North Carolina
11.2015 - 08.2024
Paramedic
Guilford County Emergency Services
08.2010 - 11.2010
Associate of Applied Science - Paramedic
Davidson County Community College
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