For the given job description <<Our client is looking for experienced professional with a strong background in healthcare, including Pharmacy Benefit Manager (PBM) expertise. Proficient in SQL for data management and analysis. Skilled in working with messaging and event-based systems, facilitating seamless communication. Knowledgeable in optimizing prescription drug programs and navigating the complexities of healthcare dynamics for enhanced patient outcomes.
QualificationsBachelor's degree or equivalent experience10+ years of progressive experience in requirements gathering and management using both Waterfall and Agile SDLC methodologies.Extensive Healthcare experience is mandatoryPBM (Pharmacy Benefit Management) experience is mandatory Process development and implementation experience.Proficient in using SQL, Visio and Office Suite, including Word, Excel, and PowerPoint.Experience working with messaging or event-based systems
ResponsibilitiesAssists andor leads in requirements management practices and principles.Participates andor provides product ownership.Creates business requirement documents, user stories, use cases, and supporting diagrams including sequence diagrams as needed.Contributes to the planning process with the Scrum Master andor project manager to plan activities including requirements gatheringrefinement, design reviews, SOPwork instruction development, training, and go-live.>> the resume: <<Professional SummaryCertified Medical Assistant with experience in back office procedures, front office procedures and experience in administration. Competent in high-volume and fast paced environments where customer service is priority and excellent patient care is standard. Major responsibilities include patient/client service, administrative duties, insurance and benefits administration, and personnel management. Advanced technical skills and in-depth knowledge of health management information systems (HMIS) used to maintain high-levels of quality care and ensure patient satisfaction. Strong ability to develop strategic plans and drive execution to increase business growth, development, and revenues. Dedicated leader equipped with an entrepreneurial mindset, advanced technical skills, and exceptional customer service delivery. Versatile Peer Support Specialist with 9 years of experience in medical and administrative support. Robust history of accurately documenting patient health information, collecting vital signs, Efficiently schedules appointments and records patient insurance information. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
SkillsEMR / EHRMedical office administrationPatient SchedulingMarketing materialsCustomer service experienceBusiness ManagementLeadership skillsCompiling dataProject coordinationProficient In Microsoft OfficeOral And Written CommunicationPolicies And Procedures
Work HistoryMedical Assistant/Data Coordinator/ Peer Support Specialist,08/2012toCurrentNyu Langone Health–New York,NY,Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.Schedule appointments for patients.Managed over 50 calls per dayWorked with program manager to increase volume by 55%Attend required staff meetingsInventory and order medical, lab, or office supplies or equipment.Perform general office duties, such as answering telephones, taking dictation, or completing insurance forms.Proficient in obtaining patient medical history and vital signs (i.e., temperature, blood pressure, and pulse), Promptly recording data in EHR and communicating patient concerns with physician.Draw blood and collect patient specimens, adhering to proper specimen handling and preparation standards to guarantee quality and accurate laboratory results.Verify patient pharmacy information and refill prescription orders under approval of physician.Launched initiative to regularly distribute health-related educational pamphlets to patients, helping them achieve and maintain ideal health.Work with leadership on budget aspects for supplies needed for programsUnder physician approval, verify patient pharmacy and medication information to order prescription refills Refill WIC prescription Access Immunizations records Running reports for ADHD and Asthma patients.Performed clerical duties, such as word processing, data entry, answering phones and filingCollaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environmentGathered and organized all printed materials required for program participationDesigned program implementation and maintenance plan, including ensuring availability of appropriate resourcesAddressed and resolved technical, financial and operational concerns by working with team members and directorsMedical Assistant,08/2011to04/2012Wal-Mart–Tallahassee,FL,Clean and sterilize instruments and dispose of contaminated supplies.Prepare and administer medications as directed by physician.Explain treatment procedures, medications, diets, or physicians' instructions to patients.Set up medical laboratory equipment.Greet and log in patients arriving at office or clinic.Inventory and order medical, lab, or office supplies or equipment.Keep financial records or perform other bookkeeping duties, such as handling credit or collections or mailing monthly statements to patients.Directed patients to exam rooms, fielded questions and prepared for physician examinationsCalled and faxed pharmacies to submit prescriptions and refillsCompleted clinical procedures and gathered patient data for interpretation by physicianIncreased sales by 50%Gathered forms and copied insurance cards to collect patient information for billing and insurance filingScheduled appointments, registered patients and distributed sample pharmaceuticals as prescribedStore Manager,06/2009to08/2010Allina Health Systems–Minneapolis,MN,Supervise activities of workers engaged in receiving, storing, testing, and shipping products or materials.Interview, select, and train personnel.Plan, develop, or implement programs and activities.Prepare or direct preparation of correspondence, reports, and operations, maintenance, and safety manuals.Issue shipping instructions and provide routing information to ensure that delivery times and locations are coordinated.Confer with department heads to coordinate activities, such as production, increased sales, records control, or purchasing.Review invoices, work orders, consumption reports, or demand forecasts to estimate peak delivery periods and to issue work assignments.Evaluate inventory costs associated with transit times to ensure that costs are appropriate.Managed over 50 customer calls per dayArrange for storage facilities when required.Prepare and manage departmental budgets.Pharmacy Technician,01/2005to04/2006CVS–City,STATE,Receive written prescription or refill requests and verify that information is complete and accurate.Establish or maintain patient profiles, including lists of medications taken by individual patients.Maintain proper storage and security conditions for drugs.Prepacked bulk medicines, fill bottles with prescribed medications, and type and affix labels.Answer telephones, responding to questions or requests.Mix pharmaceutical preparations, according to written prescriptions.Clean and help maintain equipment or work areas and sterilize glassware, according to prescribed methods.Assist customers by answering simple questions, locating items, or referring them to pharmacist for medication information.Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.Recruited, trained and guided techs which improved overall performance by 65%
EducationBachelor:Healthcare,Expected in02/2023toCapella University-Minneapolis,MNGPA:Associate of Applied Science:Medical Assisting,Expected in06/2011toEverest College-Atlanta, GA,GPA:>>. The result is, 

Fit assessment: Potential Fit