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: <<SummaryDedicated and focused Clerk who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.
SkillsMicrosoft Office
          Suite
ExperienceClerk/Data Entry Specialist,01/2012-PresentMci–Arlington,TX,Assist the medical management department by entering medical insurance authorizations for major
    medical procedures such as surgeries, durable medical equipment and physical therapy.Authorizations are time-sensitive and have been able to consistently exceed 7 day goal.Prepare Medicare and Commercial Denial Letters for Members accurately and efficiently.Sort and distribute incoming mail.Operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems and
    personal computers.Contributes to team effort by distributing faxes when Utilization Review Nurses need them in order to
    complete authorizations.Substitute Teacher/Assistant,01/2010-01/2012Carepathrx–Longwood (Ahhi),FL,Worked closely with children ages six weeks to five years by exposing them to educational ideas through
    play, music and poetry.Educated children through play sessions involving interactive reading concepts.Taught children various
    innovative ideas and curriculum, as in pertained to teacher's lesson plans.Assisted children with art exercises and projects, in order to promote self-creativity and independence.Completed and organized daily reports and lesson plans which were reported directly to the Director,
    staff and parents.Planned and facilitated parent - teacher conferences, in order to update parents on children's' progress
    throughout the school year.Telephone Sales Representative,01/2010-Carepathrx–OH,State,Managed yellow pages business advertising accounts within assigned markets.Page |2
Jessica Claire
   Gained extensive experience in marketing and comprehensive advertising programs to small business
   clients to include print yellow pages, online yellow pages, Search Engine Marketing programs and
   websites.Worked alongside graphics department to design customer ads.Achieved above average on call volume maintaining an average 68-75 calls per hour.Collection Specialist,01/2007-01/2009Carepathrx–Lewisville,TX,Received and responded to a high volume of inbound calls from Regions bank customers in a fast-paced
   environment while also resolving customer complaints and negotiating payment arrangements.Collected on past due lines of credit and overdrawn accounts.Followed through on customer inquiries,
   requests or complaints.Resolved issues promptly and placed follow-up calls to customers as necessary.Attained high sales performance standards.Received highest attainable score on graded call reviews performed by superiors conducted weekly.Mastered 10-key stroke.Achieved above average on call volume maintaining an average 75-100 calls per hour.Collection Specialist,01/2007-01/2009Carepathrx–Orlando,FL,Received and responded to a high volume of inbound calls from Regions bank customers in a fast-paced
   environment while also resolving customer complaints and negotiating payment arrangements.Collected on past due lines of credit and overdrawn accounts.Followed through on customer inquiries,
   requests or complaints.Resolved issues promptly and placed follow-up calls to customers as necessary.Attained high sales performance standards.Received highest attainable score on graded call reviews performed by superiors conducted weekly.Mastered 10-key stroke.Achieved above average on call volume maintaining an average 75-100 calls per hour.Collection Specialist,01/2007-01/2009REGIONS FINANCIAL CORP–City,STATE,Received and responded to a high volume of inbound calls from Regions bank customers in a fast-paced
   environment while also resolving customer complaints and negotiating payment arrangements.Collected on past due lines of credit and overdrawn accounts.Followed through on customer inquiries,
   requests or complaints.Resolved issues promptly and placed follow-up calls to customers as necessary.Attained high sales performance standards.Received highest attainable score on graded call reviews performed by superiors conducted weekly.Mastered 10-key stroke.Achieved above average on call volume maintaining an average 75-100 calls per hour.Collection Specialist,01/2007-01/2009REGIONS FINANCIAL CORP–City,STATE,Received and responded to a high volume of inbound calls from Regions bank customers in a fast-paced
   environment while also resolving customer complaints and negotiating payment arrangements.Collected on past due lines of credit and overdrawn accounts.Followed through on customer inquiries,
   requests or complaints.Resolved issues promptly and placed follow-up calls to customers as necessary.Attained high sales performance standards.Received highest attainable score on graded call reviews performed by superiors conducted weekly.Mastered 10-key stroke.Achieved above average on call volume maintaining an average 75-100 calls per hour.
Skills10-key, ads, advertising, art, Communication Skills, Excellent Oral, Interpersonal Skills, conferences, creativity, credit, resolving customer complaints, clients, Customer Satisfaction, Customer Service Skills, fast, faxes, facsimile, graphics, insurance, lesson plans, Letters, Director, marketing, medical management, mail, Microsoft Office
          Suite, negotiating, office machines, Organizational Skills, Page, photocopiers, physical therapy, poetry, progress, reading, sales, scanners, teacher, Team Player, 55 WPM, type, voice mail, websites, Written>>. The result is, 

Fit assessment: Potential Fit