![]() Reviewing and entering prescription orders in Pharmacy Benefit Management (PBM) System.Development and creation of new efficient internal business processes.Assisting pharmacists, nurses, and physicians answering questions regarding patient orders and reviewing intravenous.Designed and prepared technical reports, studies and related documentation.Collaborated with senior management and business line management to identify and prioritize new concepts for development and launch.Analyzing client environment and providing process improvement and compliance feedback.Understanding of CMS guidelines and compliance expectations along with health care expectations for patient utilization management.Assisted with application configuration that managed over 1 million members.Managed, troubleshooted, and resolved application issues.Lead training sessions for application and product implementation projects.Managed Client Issues and troubleshoot application issues.Analyzing client reports for compliance feedback.Understanding Healthcare requirements for project implementation.Understanding of CMS guidelines and compliance expectations.Active participant of User Acceptance Testing with client’s during implementation.Built and gathered requirements for integrations of communication/correspondence partners.Lead and conducted system configuration for clients during product implementation and production support.Assisted and lead Project Implementation and Production support for clients.Lead and supported integration implementation with Pharmacy Benefit Managers (PBM) and electronic prior authorization (ePA) partners.Veterans Health Administration – Brownsburg, IN , Subject Matter Expert, Product, 08/2015 to Current Monitored contracts and service level agreements to identify potential risks and implement mitigation actions to protect development process from unforeseen delays and costs.Outlined work plans, determined resources, wrote timelines and generated initial budgets as part of project scope determination.Developed internal project management systems and communications to facilitate successful operations.Modified and directed project plans to meet organizational needs.Identified plans and resources required to meet project goals and objectives.Monitored and managed up to 20 implementation projects simultaneously.Tracked project progress and updates and monitored deliverables, milestones and issues for accurate annual reporting.Researched and resolved barriers to successful system functionality, improving support and issue resolution. ![]() Collaborated with Benefit Managers to cultivate resources and reference material for technical installation, troubleshooting and maintenance.Oversaw implementation lifecycle processes based on organizational needs, regulatory requirements and customer demand.Documented processes to streamline setup, customization and maintenance.Project & Implementation Manager, 09/2019 to CurrentĬanon Business Process Services – Wausau, WI , Additionally, knowledgeable of CMS and government guidelines and compliance expectations along with health care expectations for patient utilization management processes. Help ensure that new onboarding clients are given a positive experience and provides knowledgeable feedback on internal business processes and provides ideas to increase business efficiencies. Played a key role with working on multiple project implementations that included product integrations with multiple (PBM) and electronic prior authorization (ePA) partners. Offering years of experience working with pharmacy benefit managers (PBMs) at multiple levels, including at the pharmacy level, health plan level, and at the health plan integration level. ![]() Knowledgeable in accounting principles, bookkeeping, budget and financial management. Monitors projects by adhering to production schedule and budget, managing production team, identifying problems and providing targeted solutions. Leads procurement of resources including equipment and supplies. ![]() Resourceful Project Manager with many years of expertise in organizing business operations, financial oversight and resource management to achieve smooth flow and project operations.
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